Dr Duke J Ruktanonchai, MD | |
1301 Carlisle St, Natrona Heights, PA 15065-1152 | |
(412) 330-4363 | |
Not Available |
Full Name | Dr Duke J Ruktanonchai |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1301 Carlisle St, Natrona Heights, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629181037 | NPI | - | NPPES |
036116196 | Medicaid | IL | |
02215643 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036116196 (Illinois) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD457852 (Pennsylvania) | Primary |
Entity Name | Mercy Life Center Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720075104 PECOS PAC ID: 9335042514 Enrollment ID: O20040128000504 |
Entity Name | Jefferson Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891763249 PECOS PAC ID: 2163336017 Enrollment ID: O20040917000518 |
Entity Name | Cognitive Behavior Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669884409 PECOS PAC ID: 7810213337 Enrollment ID: O20150227001272 |
Entity Name | Wesley Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316450638 PECOS PAC ID: 7517206246 Enrollment ID: O20190225001787 |
Mailing Address | Practice Location Address |
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Dr Duke J Ruktanonchai, MD 7 Blanchard Cir, Suite 201, Wheaton, IL 60189-2039 Ph: (630) 653-2300 | Dr Duke J Ruktanonchai, MD 1301 Carlisle St, Natrona Heights, PA 15065-1152 Ph: (412) 330-4363 |
Dr. Margaret L Prather, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 805 Jefferson Ave, Natrona Heights, PA 15065 Phone: 724-224-9333 Fax: 724-224-5155 |