| Matthew Lee Knecht, | |
|
3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | |
| (937) 702-4060 | |
| (937) 702-4069 |
| Full Name | Matthew Lee Knecht |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 13 Years |
| Location | 3525 Pentagon Blvd, Beavercreek, 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 |
|---|---|---|---|
| 1942569041 | NPI | - | NPPES |
| 0226528 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35.130527 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Soin Medical Center | Beaver creek, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Troy Hospital | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| 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 |
|---|---|
| Matthew Lee Knecht, 3700 Southern Blvd Ste 101, Kettering, OH 45429-1226 Ph: (937) 281-3810 | Matthew Lee Knecht, 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 Ph: (937) 702-4060 |
Dr. Ralph Vatner, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 101, Beavercreek, OH 45431 Phone: 937-702-4060 Fax: 937-702-4069 | |
Jonathan P. Moayyad, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3525 Pentagon Blvd, Suite 101, Beavercreek, OH 45429 Phone: 937-702-4060 Fax: 937-702-4069 |