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