Dan Liviu Dusleag, MD | |
2516b Q St, Bedford, IN 47421-4928 | |
(812) 276-1391 | |
Not Available |
Full Name | Dan Liviu Dusleag |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2516b Q St, Bedford, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265426092 | NPI | - | NPPES |
200196420A | Medicaid | IN | |
0000000307496 | Other | IN | ANTHEM PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01048041A (Indiana) | Primary |
Entity Name | Monroe Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568627206 PECOS PAC ID: 0446576680 Enrollment ID: O20150305000230 |
Mailing Address | Practice Location Address |
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Dan Liviu Dusleag, MD 2516b Q St, Bedford, IN 47421-4928 Ph: () - | Dan Liviu Dusleag, MD 2516b Q St, Bedford, IN 47421-4928 Ph: (812) 276-1391 |
Dr. Kevin A Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Edmundo Noel Tan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-279-3567 Fax: 812-275-1344 | |
Dr. Sarah Elizabeth Freese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
George W Sorrells Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Dr. Wyncel Joy Chan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 |