Dr Phillip Michael Porcelli, DO | |
3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 | |
(937) 643-9299 | |
(937) 643-2343 |
Full Name | Dr Phillip Michael Porcelli |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 3533 Southern Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629287677 | NPI | - | NPPES |
0050529 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | BB0454912(81) (Illinois) | Secondary |
207T00000X | Neurological Surgery | 34010246 (Ohio) | Primary |
Entity Name | Alliance Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Michael Porcelli, DO 1 Prestige Pl, Suite 550, Miamisburg, OH 45342-3794 Ph: (937) 752-2305 | Dr Phillip Michael Porcelli, DO 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 Ph: (937) 643-9299 |
Dr. Akil P. Patel, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Dr. Mark Hoeprich, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Dr. Richard John Gorman Jr., D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Jonathan A Borden, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3533 Southern Blvd Ste 3000, Kettering, OH 45429 Phone: 937-299-8242 Fax: 937-299-8245 | |
Peter A Bouz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Linda D Alston, D.O. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3533 Southern Blvd, Suite 3000, Kettering, OH 45429 Phone: 937-299-8242 Fax: 937-299-8245 |