Luke Menner, DO | |
4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 | |
(937) 257-8718 | |
Not Available |
Full Name | Luke Menner |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 10 Years |
Location | 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, 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 |
---|---|---|---|
1487071957 | NPI | - | NPPES |
0249185 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 02004775A (Indiana) | Secondary |
207R00000X | Internal Medicine | 34.012922 (Ohio) | Secondary |
208M00000X | Hospitalist | 34.012922 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Medical Center | Kettering, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Independent Medical Group Inc | 3173710936 | 586 |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Mvhe Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
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 |
---|---|
Luke Menner, DO 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-8718 | Luke Menner, DO 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-8718 |