Blake Edward Averill, MD | |
1703 W Stones Crossing Rd Ste 210, Greenwood, IN 46143-8558 | |
(317) 781-1133 | |
(317) 837-4640 |
Full Name | Blake Edward Averill |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 1703 W Stones Crossing Rd Ste 210, Greenwood, 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 |
---|---|---|---|
1750819165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01082209A (Indiana) | Primary |
207QS0010X | Family Medicine - Sports Medicine | 01082209A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Physician Network | 3072790682 | 983 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Blake Edward Averill, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Blake Edward Averill, MD 1703 W Stones Crossing Rd Ste 210, Greenwood, IN 46143-8558 Ph: (317) 781-1133 |
Dr. Elise Rose Laroche, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 317-888-9669 Fax: 317-885-7966 | |
Brittany Y. Simpson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 E County Line Rd, Greenwood, IN 46143 Phone: 317-957-9050 | |
Dr. Charles L Richert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 S State Road 135 Ste 220, Greenwood, IN 46143 Phone: 317-621-2290 | |
Dr. Douglas K Bullington, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 S State Road 135, Suite 200, Greenwood, IN 46143 Phone: 317-535-1876 Fax: 317-535-5049 | |
Philip A. Blaney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 W Stones Crossing Rd Ste 210, Greenwood, IN 46143 Phone: 317-528-2270 Fax: 317-528-2286 | |
Shelley R Stiner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 N State Road 135, Ste 103, Greenwood, IN 46142 Phone: 317-550-4510 Fax: 317-886-4550 | |
Ehab Wanas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869 |