Abdulrahim Ismail, MD | |
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
(812) 353-5222 | |
(812) 353-5262 |
Full Name | Abdulrahim Ismail |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 15 Years |
Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
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 |
---|---|---|---|
1184011975 | NPI | - | NPPES |
090540860 | Other | IN | MEDICARE PTAN |
300075636 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 7345620 (Wisconsin) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 01090117A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Saint Luke's East Hospital | Lees summit, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
---|---|
Abdulrahim Ismail, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Abdulrahim Ismail, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 353-5222 |
Jonathan Wicks, ATC, LAT, M.ED Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 17th St, Bloomington, IN 47408 Phone: 812-855-7920 | |
Dr. James G Marencik, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109 | |
Dr. David Austin Duncan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5630 Fax: 812-353-5441 | |
Alvin Perry Griffith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-5603 Fax: 812-353-3451 | |
Marina Bota, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
Joel Harold Griffith, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 |