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(HMO) (PPO) Provider Directory Cincinnati/Dayton ... - Aetna Medicare

(HMO) (PPO) Provider Directory Cincinnati/Dayton ... - Aetna Medicare

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Primary Care Physicians MONTGOMERY<br />

Anim, Bricker, Czachor, Ellison, Herchline, Kalvakota, Kirkham, Polenakovik, Mamle, David Dean John Karen, Thomas Saraswathi, Hari M., A., MD;PCP;323491;Wright S., MD;PCP;323491;Wright M., MD;PCP;323491;Wright E., MD;PCP;323491;Wright MD;PCP;323491;Wright State State Physicians State Physicians State Physicians Physicians Physicians Internal Internal Internal Medicine;French<br />

Internal Medicine;<br />

Medicine;<br />

Medicine;Macedonian<br />

Medicine; Medicine;Telugu<br />

<strong>Aetna</strong> Primary Office ID<br />

323491<br />

Wright State Physicians<br />

Internal Medicine<br />

Anim, Mamle, MDe�M<br />

Bricker, Dean A., MDe�<br />

Czachor, John S.,<br />

MDe�M<br />

Ellison, David M., MDM<br />

Herchline, Thomas E.,<br />

MDe�M<br />

Kalvakota, Saraswathi,<br />

MD<br />

Kirkham, Karen, MDe�M<br />

Polenakovik, Hari M.,<br />

MDe�M<br />

1222 South Patterson Blvd.<br />

Suite 230<br />

<strong>Dayton</strong>, OH 45402<br />

(937) 223-5350<br />

Speaks French,<br />

Macedonian, Telugu<br />

Good Samaritan Hosp and<br />

Health Center<br />

Kettering Med Ctr<br />

Kettering Medical -<br />

Sycamore<br />

Miami Valley Hosp<br />

Anim, Bricker, Ellison, Mamle, David Dean M., A., MD;PCP;633196;Wright State State Physicians, Inc.;French Inc.;<br />

<strong>Aetna</strong> Primary Office ID<br />

633196<br />

Wright State Physicians,<br />

Inc.<br />

Anim, Mamle, MDe�M<br />

Bricker, Dean A., MDe�<br />

Ellison, David M., MDM<br />

One Elizabeth Place<br />

Suite 500<br />

<strong>Dayton</strong>, OH 45417<br />

(937) 443-0354<br />

Speaks French<br />

Good Samaritan Hosp and<br />

Health Center<br />

Miami Valley Hosp<br />

� <strong>Aetna</strong> <strong>Medicare</strong> Plan (<strong>PPO</strong>) only<br />

Czachor, Herchline, Kirkham, John Karen, Thomas S., MD;PCP;633196;Wright E., MD;PCP;633196;Wright State State Physicians, Physicians, Inc.;<br />

Inc.;<br />

<strong>Aetna</strong> Primary Office ID<br />

633196<br />

Wright State Physicians,<br />

Inc.<br />

Czachor, John S.,<br />

MDe�M<br />

Herchline, Thomas E.,<br />

MDe�M<br />

Kirkham, Karen, MDe�M<br />

One Elizabeth Place<br />

Suite 500<br />

<strong>Dayton</strong>, OH 45417<br />

(937) 443-0354<br />

Miami Valley Hosp<br />

Anim, Bricker, Ellison, Mamle, David Dean M., A., MD;PCP;791812;Wright State State Physicians, Inc.;French Inc.;<br />

<strong>Aetna</strong> Primary Office ID<br />

791812<br />

Wright State Physicians,<br />

Inc.<br />

Anim, Mamle, MDe�M<br />

Bricker, Dean A., MDe�<br />

Ellison, David M., MDM<br />

725 South Ludlow Street<br />

<strong>Dayton</strong>, OH 45402<br />

(937) 208-2004<br />

Speaks French<br />

Good Samaritan Hosp and<br />

Health Center<br />

Miami Valley Hosp<br />

Nurse Practitioner<br />

Muterspaw, Teresa K., NP;PCP;323491;Wright State Physicians Internal Medicine;<br />

<strong>Aetna</strong> Primary Office ID<br />

323491<br />

Wright State Physicians<br />

Internal Medicine<br />

Muterspaw, Teresa K.,<br />

NP�<br />

1222 South Patterson Blvd.<br />

Suite 230<br />

<strong>Dayton</strong>, OH 45402<br />

(937) 223-5350<br />

� Employed Mid-Level<br />

Practitioner and is not<br />

Credentialed by <strong>Aetna</strong>.<br />

Selection of the Mid-Level<br />

Practitioner as Primary Care<br />

<strong>Provider</strong> is not Permitted.<br />

Englewood<br />

Family Practice<br />

Corcoran, Mesker, David Mark A., E., MD;PCP;70863;Englewood Family Practice;<br />

<strong>Aetna</strong> Primary Office ID<br />

70863<br />

Englewood Family<br />

Practice<br />

Corcoran, Mark E., MD<br />

Mesker, David A., MD<br />

Englewood Family Practice<br />

211 West National Road<br />

Englewood, OH 45322<br />

(937) 208-8100<br />

Good Samaritan Hosp and<br />

Health Center<br />

Internal Medicine<br />

Chunduri, Ramamohan, MD;PCP;76169;;Telugu<br />

<strong>Aetna</strong> Primary Office ID<br />

76169<br />

Chunduri, Ramamohan,<br />

MDM<br />

1230 Union Road<br />

Englewood, OH 45322<br />

(937) 836-7130<br />

Speaks Telugu<br />

Good Samaritan Hosp and<br />

Health Center<br />

Kettering Med Ctr<br />

Miami Valley Hosp<br />

Farmersville<br />

Family Practice<br />

Kinninger, Lemaster, Ratcliff, Lawrence Roy Adam N., J., MD;PCP;70808;Farmersville G., DO;PCP;70808;Farmersville MD;PCP;70808;Farmersville Medical Medical Clinic Clinic Family Family Practice;<br />

Practice;<br />

<strong>Aetna</strong> Primary Office ID<br />

70808<br />

Farmersville Medical<br />

Clinic Family Practice<br />

Kinninger, Adam J., DO<br />

Lemaster, Roy N., MD<br />

Ratcliff, Lawrence G.,<br />

MD<br />

49 East Center Street<br />

Farmersville, OH 45325<br />

(937) 696-2858<br />

Nurse Practitioner<br />

Little, Danielle R., CNP;PCP;70808;Farmersville Medical Clinic Family Practice;<br />

<strong>Aetna</strong> Primary Office ID<br />

70808<br />

Farmersville Medical<br />

Clinic Family Practice<br />

Little, Danielle R., CNP�<br />

49 East Center Street<br />

Farmersville, OH 45325<br />

(937) 696-2858<br />

� Employed Mid-Level<br />

Practitioner and is not<br />

Credentialed by <strong>Aetna</strong>.<br />

Germantown<br />

<strong>Provider</strong>s identified with M symbol may also participate in Medicaid. e� Electronic Prescribing<br />

Family Practice<br />

Fedrizzi, Krisell D., DO;PCP;311948;;<br />

<strong>Aetna</strong> Primary Office ID<br />

311948<br />

Fedrizzi, Krisell D.,<br />

DOe�M<br />

1870 <strong>Dayton</strong> Germantwon<br />

Pike<br />

Germantown, OH 45327<br />

(937) 855-6006<br />

NCQA Diabetes Recognized<br />

<strong>Provider</strong>. See back cover.<br />

Grandview Hosp and Med<br />

Ctr<br />

Kettering Med Ctr<br />

Kettering Medical -<br />

Sycamore<br />

Southview Hosp and Family<br />

Health Center<br />

Watson, Noel J., MD;PCP;70727;Germantown Family Practice;French!German!Russian!Spanish<br />

<strong>Aetna</strong> Primary Office ID<br />

70727<br />

Germantown Family<br />

Practice<br />

Watson, Noel J., MD<br />

1217 West Market Street<br />

Germantown, OH 45327<br />

(937) 855-7275<br />

Speaks French, German,<br />

Russian, Spanish<br />

Kettering Med Ctr<br />

55<br />

PCPs / Médicos de familia

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