Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Lynn Detwiler, PAC

Individual provider Physician Assistant · NPI 1154490738

Tracy Lynn Detwiler, PAC is a Physician Assistant in Bellefontaine, Ohio. Qualified in 2009, 17 years ago. Practices with Community Health and Wellness Partners of Logan County, a 19-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033
Phone: (937) 599-1411
Fax: (937) 599-4128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50-002477 (OH)

Record details

NPI number1154490738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Community Health And Wellness Partners Of Logan County — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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