Dr Daniel Thomas Pucheril, MD, MBA | |
3737 Southern Blvd Ste 4200, Kettering, OH 45429-0135 | |
(937) 294-1489 | |
(937) 294-7999 |
Full Name | Dr Daniel Thomas Pucheril |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 12 Years |
Location | 3737 Southern Blvd Ste 4200, Kettering, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215298104 | NPI | - | NPPES |
0359824 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301100400 (Michigan) | Secondary |
208800000X | Urology | 35.134964 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Medical Center | Kettering, OH | Hospital |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Soin Medical Center | Beaver creek, OH | Hospital |
Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
Greene Memorial Hospital | Xenia, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Independent Medical Group Inc | 3173710936 | 577 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Thomas Pucheril, MD, MBA 3737 Southern Blvd Ste 4200, Kettering, OH 45429-0135 Ph: (937) 294-1489 | Dr Daniel Thomas Pucheril, MD, MBA 3737 Southern Blvd Ste 4200, Kettering, OH 45429-0135 Ph: (937) 294-1489 |
Rajiva Ranjan Singh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3737 Southern Blvd., Suite 4200, Kettering, OH 45429 Phone: 937-294-1489 Fax: 937-297-6468 | |
David A Hadley, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3737 Southern Blvd Ste 4200, Kettering, OH 45429 Phone: 937-294-1489 Fax: 937-297-6468 | |
Dr. Sammy A. Hamway, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 10 Southmoor Cir Nw, Kettering, OH 45429 Phone: 937-294-1489 Fax: 937-297-6468 | |
Dr. Safwat K. Zaki, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3737 Southern Blvd Ste 4200, Kettering, OH 45429 Phone: 937-294-1489 Fax: 937-297-6468 |