| John C Breneman, MD | |
|
234 Goodman St, Cincinnati, OH 45219-2364 | |
| (513) 584-3494 | |
| (513) 584-4007 |
| Full Name | John C Breneman |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 234 Goodman St, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922090075 | NPI | - | NPPES |
| 0120692000 | Medicaid | WV | |
| 0591506 | Medicaid | OH | |
| 0000F5185 | Medicaid | NM | |
| 64785504 | Medicaid | KY | |
| 295801 | Other | OH | BLACK LUNG |
| P8B037061 | Medicaid | TX | |
| 0655279 | Other | OH | AETNA |
| 16-20999 | Other | OH | UNITED HEALTHCARE |
| 200039460A | Medicaid | IN | |
| 920000710 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35-05-1974 (Ohio) | Primary |
| Entity Name | University Of Cincinnati Physicians Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
| Entity Name | Children's Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Breneman, MD Po Box 636256 Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 585-5507 | John C Breneman, MD 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 584-3494 |
Preeyacha Pacharn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229 Phone: 513-636-4251 | |
Dr. Marc R Mosbacher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Ivy Gtwy Ste 1100, Cincinnati, OH 45245 Phone: 513-751-2273 | |
Dr. Michael K. Shehata, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5520 Cheviot Rd, Cincinnati, OH 45247 Phone: 513-451-4033 Fax: 513-451-1356 | |
Dr. Rodney P Geier, MD Radiology Medicare: Medicare Enrolled Practice Location: 11140 Montgomery Rd, Cincinnati, OH 45249 Phone: 513-564-8520 Fax: 513-564-8539 | |
James M Meranus, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-965-8041 Fax: 513-965-8091 | |
Doan Vu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Central Credentialing Ml 806, Cincinnati, OH 45219 Phone: 513-585-5508 Fax: 513-585-5511 | |
Sara Medek, Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-585-0855 |