Dr Luecha Rutngamlug, MD is a
General Practice physician based in Salem, Illinois. Dr Luecha Rutngamlug is licensed to practice in Illinois (license number 036051046) and his current practice location is 1275 Hawthorn Rd, Salem, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 548-4545.
NPI number for Dr Luecha Rutngamlug is 1174619555 and his current mailing address is 1275 Hawthorn Rd, Salem, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174619555.
Physician's Profile
| Full Name | Dr Luecha Rutngamlug |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 1275 Hawthorn Rd, Salem, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174619555
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 11/18/2011
Medical Identifiers
Medical identifiers for Dr Luecha Rutngamlug such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174619555 | NPI | - | NPPES |
| 036051046 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 036051046 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luecha Rutngamlug is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Luecha Rutngamlug, MD
1275 Hawthorn Rd,
Salem, IL 62881-1028
Ph: (618) 548-4545 | Dr Luecha Rutngamlug, MD
1275 Hawthorn Rd,
Salem, IL 62881-1028
Ph: (618) 548-4545 |
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