Dr Duke J Ruktanonchai, MD | |
1200 Reedsdale St, Pittsburgh, PA 15233-2109 | |
(412) 488-4040 | |
(412) 488-4097 |
Full Name | Dr Duke J Ruktanonchai |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1200 Reedsdale St, Pittsburgh, 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 |
---|---|
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Duke J Ruktanonchai, MD 2023 W Grove Dr, Gibsonia, PA 15044-6059 Ph: (630) 306-4394 | Dr Duke J Ruktanonchai, MD 1200 Reedsdale St, Pittsburgh, PA 15233-2109 Ph: (412) 488-4040 |
Erek Lam, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9104 Babcock Blvd Ste 2116, Second Floor, Pittsburgh, PA 15237 Phone: 412-367-1003 | |
Kimberly Clinebell, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3811 Ohara St, Pittsburgh, PA 15213 Phone: 412-624-2100 | |
Melanie Lin Peterson, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3811 Ohara St Ste 431, Pittsburgh, PA 15213 Phone: 412-246-5320 | |
Kimberly Mathos, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 712 South Ave, Pittsburgh, PA 15221 Phone: 412-243-3400 | |
Dr. Melvin P Melnick, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 530 Marshall Ave., Pittsburgh, PA 15214 Phone: 412-442-2885 Fax: 412-322-5405 | |
Emil Ivanov, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3811 Ohara St, Pittsburgh, PA 15213 Phone: 412-246-6801 | |
Maria Baldwin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3471 5th Ave, Kaufmann Bldg. Suite 810, Pittsburgh, PA 15213 Phone: 412-692-4920 Fax: 412-692-4907 |