Mary Elmasry, DDS | |
3118 S Lafountain St, Kokomo, IN 46902-3710 | |
(765) 864-4160 | |
Not Available |
Full Name | Mary Elmasry |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 3118 S Lafountain St, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477286193 | NPI | - | NPPES |
12013843A | Other | IN | INDIANA STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12013843A (Indiana) | Primary |
Entity Name | Indiana Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
Mailing Address | Practice Location Address |
---|---|
Mary Elmasry, DDS 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335 | Mary Elmasry, DDS 3118 S Lafountain St, Kokomo, IN 46902-3710 Ph: (765) 864-4160 |
Jordan Michael Jenkins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1941 W Boulevard, Kokomo, IN 46902 Phone: 765-453-6200 | |
Dr. Kevin Thomas Jarrell, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 314 E Alto Rd, Kokomo, IN 46902 Phone: 765-453-4261 Fax: 765-453-4829 | |
Dr. Michael Patrick Aslin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 E Alto Rd, Kokomo, IN 46902 Phone: 765-455-2505 Fax: 765-455-2564 | |
Burton V Largura, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2705 S Berkley Rd Ste 4a, Kokomo, IN 46902 Phone: 765-453-2619 Fax: 765-453-5076 | |
Ashley Howard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2333 W Lincoln Rd, Kokomo, IN 46902 Phone: 765-455-0085 | |
Mr. Donald Eugene Rogers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2705 South Berkley Rd, 3b Don Rogers Dds, Kokomo, IN 46902 Phone: 765-453-0085 Fax: 765-453-7879 | |
Dr. Raymond L Christine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 604 E Boulevard, Suite A, Kokomo, IN 46901 Phone: 765-459-8412 |