Bryan Jacob Wohlfeld, MD | |
719 W 2nd St, Bloomington, IN 47403-2209 | |
(812) 676-4730 | |
(812) 676-4731 |
Full Name | Bryan Jacob Wohlfeld |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 20 Years |
Location | 719 W 2nd St, 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 |
---|---|---|---|
1669674081 | NPI | - | NPPES |
297763901 | Medicaid | TX | |
TXB134441 | Other | TX | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 01084250A (Indiana) | Primary |
207T00000X | Neurological Surgery | N7764 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
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 |
---|---|
Bryan Jacob Wohlfeld, MD Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 645-2300 | Bryan Jacob Wohlfeld, MD 719 W 2nd St, Bloomington, IN 47403-2209 Ph: (812) 676-4730 |
Dr. Todd A Eads, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 719 W 2nd St, Bloomington, IN 47403 Phone: 317-396-1300 Fax: 317-329-3040 | |
Kevin J Powers, DPM Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1791 W 3rd St, Bloomington, IN 47404 Phone: 812-333-4422 Fax: 812-333-6698 |