Michael Caccamo, DO | |
540 Lincoln Park Blvd, Ste 130, Kettering, OH 45429-6401 | |
(937) 297-6306 | |
(937) 299-6300 |
Full Name | Michael Caccamo |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 540 Lincoln Park Blvd, 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 |
---|---|---|---|
1053303149 | NPI | - | NPPES |
0145033 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 34-00-6134C (Ohio) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 5101010916 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wayne Healthcare | Greenville, OH | Hospital |
Highland District Hospital | Hillsboro, OH | Hospital |
Kettering Medical Center | Kettering, OH | Hospital |
Soin Medical Center | Beaver creek, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Network Radiologists Inc | 7618960303 | 67 |
Entity Name | Kettering Network Radiologists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346299153 PECOS PAC ID: 7618960303 Enrollment ID: O20040407001016 |
Mailing Address | Practice Location Address |
---|---|
Michael Caccamo, DO 540 Lincoln Park Blvd, Ste 130, Kettering, OH 45429-6401 Ph: (937) 297-6306 | Michael Caccamo, DO 540 Lincoln Park Blvd, Ste 130, Kettering, OH 45429-6401 Ph: (937) 297-6306 |
Luke Miller Lewis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8646 Fax: 937-522-8100 | |
Jeffery L Nielson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1563 E Dorothy Ln, Kettering, OH 45429 Phone: 937-296-2853 | |
John K Bidwell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
Richard A Mckenzie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
Donald Marger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2632 Woodman Center Ct, Kettering, OH 45420 Phone: 937-293-2273 | |
Jerome Puryear Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 |