Chandra Kathryn Flack, MD | |
2901 W Jackson St, Muncie, IN 47304-4307 | |
(765) 747-4332 | |
(765) 448-7689 |
Full Name | Chandra Kathryn Flack |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 10 Years |
Location | 2901 W Jackson St, Muncie, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295115038 | NPI | - | NPPES |
1102424289 | Other | IN | ANTHEM PTAN |
201295010 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01083908A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
Indiana University Health Jay, Inc. | Portland, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 301 |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | Urology Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487680518 PECOS PAC ID: 7517870009 Enrollment ID: O20031111000154 |
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 |
---|---|
Chandra Kathryn Flack, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Chandra Kathryn Flack, MD 2901 W Jackson St, Muncie, IN 47304-4307 Ph: (765) 747-4332 |
Michael David Felice, MD Urology Medicare: Medicare Enrolled Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-4332 Fax: 765-448-7689 | |
Dr. Albert Nicholas Bruno Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 Fax: 765-289-8628 | |
Dr. Jeffrey Clare Ulrich, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7127 | |
David W Hall Ii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 Fax: 765-289-8628 | |
Dr. Onisuru T Okotie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 | |
Dr. Robert Simpson Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7127 Fax: 765-289-8628 |