| Shane Ruckle, MD | |
|
800 Spruce St, 2 Cathcart, Philadelphia, PA 19107-6130 | |
| (215) 829-3264 | |
| Not Available |
| Full Name | Shane Ruckle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 800 Spruce St, Philadelphia, Pennsylvania |
| 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 |
|---|---|---|---|
| 1932133907 | NPI | - | NPPES |
| 001769535 | Medicaid | PA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pikeville Medical Center | Pikeville, KY | Hospital |
| Chippewa County War Memorial Hospital | Sault sainte marie, MI | Hospital |
| Osf Sacred Heart Medical Center | Danville, IL | Hospital |
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Sault | 7315936481 | 88 |
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Pikeville Medical Center Inc | 6709790157 | 384 |
| Sound Physicians Emergency Medicine Of Texas Pllc | 9739449802 | 92 |
| Entity Name | Mymichigan Medical Center Sault |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457305674 PECOS PAC ID: 7315936481 Enrollment ID: O20040512000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Ruckle, MD 3624 Market St, Suite 560w, Philadelphia, PA 19104-2614 Ph: (215) 662-2286 | Shane Ruckle, MD 800 Spruce St, 2 Cathcart, Philadelphia, PA 19107-6130 Ph: (215) 829-3264 |
Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963 | |
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Ashley Bonsu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Anthony Joseph Nastasi Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Ground Silverstein Bldg, Philadelphia, PA 19104 Phone: 215-662-6698 Fax: 215-662-3953 | |
Richu Raju, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 W Ontario St, Philadelphia, PA 19140 Phone: 215-707-9837 Fax: 215-707-3494 |