| John Michael Rahe, MD | |
|
9597 Bridlewood Trl, Dayton, OH 45458-9321 | |
| (937) 545-5108 | |
| Not Available |
| Full Name | John Michael Rahe |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 9597 Bridlewood Trl, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588740708 | NPI | - | NPPES |
| 2344734 | Medicaid | OH | |
| 2909675 | Other | AETNA | |
| 000000231452 | Other | BLUE CROSS BLUE SHIELD | |
| 1203966 | Other | UNITED HEALTHCARE | |
| 2344734 | Other | BUREAU FOR CHILDREN WITH | |
| 311627276035 | Other | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 35081280 (Ohio) | Secondary |
| 208000000X | Pediatrics | 35.081280 (Ohio) | Primary |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Rahe, MD 9597 Bridlewood Trl, Dayton, OH 45458-9321 Ph: (937) 545-5108 | John Michael Rahe, MD 9597 Bridlewood Trl, Dayton, OH 45458-9321 Ph: (937) 545-5108 |
Hemanth Shimoga Lingadevaru, MD,MPH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 Fax: 937-641-3107 | |
Tanya Paul, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 | |
Dr. Sara Frances Guerrero-duby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Dr. Rory Jon Peppard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409 Phone: 937-208-2907 Fax: 937-208-4515 | |
Dr. Emmett H Broxson Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3111 Fax: 937-641-5885 | |
Dr. Ramakrishna Mutyala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 934-641-4500 | |
Bryce Lawrence Willen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 |