Deanna M Fenoughty, MD | |
6911 E Us Highway 36, Avon, IN 46123-8926 | |
(317) 272-8033 | |
(317) 272-8044 |
Full Name | Deanna M Fenoughty |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 6911 E Us Highway 36, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245218908 | NPI | - | NPPES |
100317590 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 01056031A (Indiana) | Primary |
Entity Name | Hendricks County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063411551 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
Mailing Address | Practice Location Address |
---|---|
Deanna M Fenoughty, MD 1100 Southfield Dr, Suite 1370, Plainfield, IN 46168-4498 Ph: (317) 837-5571 | Deanna M Fenoughty, MD 6911 E Us Highway 36, Avon, IN 46123-8926 Ph: (317) 272-8033 |
Travis A Richardson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123 Phone: 317-217-2777 Fax: 317-217-2775 | |
Julia Lauren Ruckman-long, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
Anita K Mazdai, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
John G Jarrett, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Ronald Reagan Pkwy, Ste C-1100, Avon, IN 46123 Phone: 317-217-2525 | |
Beatrice Soderholm, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 | |
Tiffany J Fan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy Ste 266, Avon, IN 46123 Phone: 317-217-2500 |