Beata E Samuel, MD | |
51 N Ford Rd, Zionsville, IN 46077-1233 | |
(317) 973-3333 | |
Not Available |
Full Name | Beata E Samuel |
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Gender | Female |
Speciality | Pediatrics |
Location | 51 N Ford Rd, Zionsville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083656011 | NPI | - | NPPES |
200885340 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01064081A (Indiana) | Primary |
Entity Name | St Vincent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
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Beata E Samuel, MD 51 N Ford Rd, Zionsville, IN 46077-1233 Ph: () - | Beata E Samuel, MD 51 N Ford Rd, Zionsville, IN 46077-1233 Ph: (317) 973-3333 |
Janice Kunkel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6085 Heartland Dr Ste 208, Zionsville, IN 46077 Phone: 317-768-2222 Fax: 317-768-2229 | |
Karen M Wheeler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1650 W Oak St, Ste 210, Zionsville, IN 46077 Phone: 317-873-8855 Fax: 317-873-8853 | |
Jane W Buroker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6085 Heartland Dr Ste 208, Zionsville, IN 46077 Phone: 317-768-2222 Fax: 317-768-2229 | |
Dr. Katherine Moss Pedersen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 51 N Ford Rd, Zionsville, IN 46077 Phone: 317-973-3333 | |
Danielle N Wiese, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1650 W Oak St, Suite 210, Zionsville, IN 46077 Phone: 317-873-8855 | |
Dr. Janine Elizabeth Zee-cheng, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4444 W 126th St, Zionsville, IN 46077 Phone: 317-779-3246 Fax: 317-981-1748 |