| Robert B Kanuckel, PAC | |
|
7709 Hoke Rd, Englewood, OH 45315-9725 | |
| (937) 836-4000 | |
| (937) 540-1090 |
| Full Name | Robert B Kanuckel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 47 Years |
| Location | 7709 Hoke Rd, Englewood, 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 |
|---|---|---|---|
| 1821049198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50000110 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Specialists, Llc | 1850311010 | 81 |
| Entity Name | Urgent Care Specialists, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114957123 PECOS PAC ID: 1850311010 Enrollment ID: O20051202000090 |
| Entity Name | Hometown Urgent Care of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20211014001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B Kanuckel, PAC 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Robert B Kanuckel, PAC 7709 Hoke Rd, Englewood, OH 45315-9725 Ph: (937) 836-4000 |
Timothy Weeks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 S Main St, Englewood, OH 45322 Phone: 937-208-6879 |
Brittany Mathias, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 232, Englewood, OH 45415 Phone: 937-277-8988 Fax: 937-274-4293 |
Sarah Grace Maccarelli, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St Ste 321&328, Englewood, OH 45415 Phone: 937-836-0500 Fax: 937-836-0636 |
Sabryna Madison Creech, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St Ste 233, Englewood, OH 45415 Phone: 937-832-9310 |
Mrs. Alessandra Isabella Bonanno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St Ste 233, Englewood, OH 45415 Phone: 937-832-9310 |
Jessica G Luckenbill, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St, Suite 200, Englewood, OH 45415 Phone: 937-836-5555 Fax: 937-836-7518 |
Michael Deyhle, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Suite G-35, Englewood, OH 45415 Phone: 937-836-1028 |