| Dr Otto R Dueno, MD | |
|
5350 Lamme Rd, Moraine, OH 45439-3215 | |
| (937) 534-4600 | |
| (937) 522-8799 |
| Full Name | Dr Otto R Dueno |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 34 Years |
| Location | 5350 Lamme Rd, Moraine, 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 |
|---|---|---|---|
| 1467447623 | NPI | - | NPPES |
| 0264477 | Medicaid | OH | |
| H069190 | Other | OH | MEDICARE PTAN |
| PO1068644 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35066509 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Entity Name | Dayton Behavioral Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538396270 PECOS PAC ID: 0446390926 Enrollment ID: O20091214000416 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Otto R Dueno, MD 1748 Cedar Ridge Dr, Spring Valley, OH 45370-9783 Ph: (937) 848-3729 | Dr Otto R Dueno, MD 5350 Lamme Rd, Moraine, OH 45439-3215 Ph: (937) 534-4600 |
Dr. Jamie Wen-wam Chu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4632 | |
Liesl Jade Jacobs, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4651 Fax: 937-534-4669 | |
Nancy J Smith, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
James C Barclay, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4632 Fax: 937-534-4609 | |
Dr. Edward Charles Longo Iii, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Michelle Nicole Bonnet, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4620 Fax: 937-522-8799 | |
Dr. Rick Thomas Bowers, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1579 |