Christopher Zietlow, MD PHD | |
1201 Hadley Rd, Mooresville, IN 46158-1737 | |
(317) 834-3263 | |
(317) 834-5194 |
Full Name | Christopher Zietlow |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 1201 Hadley Rd, Mooresville, 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 |
---|---|---|---|
1609036375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-090815 (Ohio) | Secondary |
208M00000X | Hospitalist | 01065671A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johnson Memorial Hospital | Franklin, IN | Hospital |
Monroe Hospital | Bloomington, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monroe Medical Group Inc | 0446576680 | 24 |
Johnson Memorial Hospital | 8527972595 | 44 |
Entity Name | Johnson Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585 |
Entity Name | Monroe Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568627206 PECOS PAC ID: 0446576680 Enrollment ID: O20150305000230 |
Entity Name | Johnson Memorial Health Physician Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053972331 PECOS PAC ID: 1850629361 Enrollment ID: O20190821004529 |
Mailing Address | Practice Location Address |
---|---|
Christopher Zietlow, MD PHD 1155 W Jefferson St, Ste 104, Franklin, IN 46131-2731 Ph: (317) 834-3263 | Christopher Zietlow, MD PHD 1201 Hadley Rd, Mooresville, IN 46158-1737 Ph: (317) 834-3263 |
Anthony A Andres, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1199 Hadley Rd Ste 100, Mooresville, IN 46158 Phone: 317-834-3263 Fax: 317-834-5194 |