Jennifer L Rawlins, MD
Individual provider Active NPI Family Medicine Physician · Versailles, OH
NPI 1306807185 · NPPES record last updated Jan 14, 2011
Key facts
- NPI
- 1306807185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35081029R (OH)
- Practice address
- 10484 Kley Rd
Versailles, OH 45380-9561 - Phone
- (937) 526-3016
- Fax
- (937) 526-3809
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Services of Darke County, Inc.
Practice addresses (Care Compare)
10484 Kley Rd
Versailles, OH 45380-9561
Phone (937) 526-3016
Hospital & facility affiliations
- Comprehensive Health Network
- Everheart Hospice
- Wayne Hospital
- Miami Valley Hospital
- Upper Valley Medical Center
- Kettering Health Troy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100507000070 | OH | Practitioner - Family Practice | 4688702913 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35081029R | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services of Darke County, Inc. | Current |
Accepting new patients | |
| Family Health Services of Darke County, Inc. | Current |
Accepting new patients | |
| Family Health Services of Darke County Inc | Current | Accepting new patients | |
| Family Health Services of Darke County Inc | Past | Accepting new patients | |
| Wayne Hospital Company | Past |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Rush Memorial Hospital | Family Medicine | Past |
Accepting new patients |
Locations
702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141
1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319
5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806
101 Anderson St
New Madison, OH 45346
Phone (937) 996-0023
10484 Kley Rd
Ste B
Versailles, OH 45380
Phone (937) 526-3016
10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016
Interoperability endpoints
- jennifer.rawlins@fhsi.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/CBABED/Endpoint/CBABED
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35081029R | OH | Yes |
Addresses
Primary practice location
10484 Kley Rd
Versailles, OH 45380-9561
Mailing address
5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2338223 | Medicaid | OH |
Other names
- Jennifer L Barge
Other providers in Versailles, OH
- Claire Louise Meyer
- Daniel H Meyer
- Theresa Nelson
- Orthopedic Associates of S W Ohio, Inc
- Jennifer Michelle Phlipot
- Renee Rindler
- Steven E Ruhenkamp
- Emily B Schwieterman Pepple
- Brenda Smith
- Stephanie Lynn Sommer
All providers in Versailles, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.