Daniel Jason Quenneville, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Liberty Twp, Ohio. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1986 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Yukon-kuskokwim Health Corporation, Columbus Radiology Corp and his current practice location is
5643 Woodmansee Way, Liberty Twp, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 241-1670.
Daniel Jason Quenneville is licensed to practice in Alaska (license number 3569) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740276500.
Physician's Profile
| Full Name | Daniel Jason Quenneville |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 38 Years |
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| Location | 5643 Woodmansee Way, Liberty Twp, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daniel Jason Quenneville attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1986
NPI Data:
- NPI Number: 1740276500
- Provider Enumeration Date: 09/26/2005
- Last Update Date: 05/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648259234
- Enrollment ID: I20040716000841
Medical Identifiers
Medical identifiers for Daniel Jason Quenneville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740276500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 35.080743 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301052746 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 36117436 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 3569 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Yukon-kuskokwim Health Corporation | 5193718765 | 77 |
| Columbus Radiology Corp | 6507754983 | 271 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Daniel Jason Quenneville allows following entities to bill medicare on his behalf.
| Entity Name | Yukon-kuskokwim Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447477815
PECOS PAC ID: 5193718765
Enrollment ID: O20040407001515 |
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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. Daniel Jason Quenneville is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Daniel Jason Quenneville, MD
5643 Woodmansee Way,
Liberty Twp, OH 45011-5914
Ph: (937) 241-1670 | Daniel Jason Quenneville, MD
5643 Woodmansee Way,
Liberty Twp, OH 45011-5914
Ph: (937) 241-1670 |
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