Derrick Thomas Rogers, MD | |
2525 W University Ave, Suite 501, Muncie, IN 47303-3421 | |
(765) 284-2172 | |
(765) 288-1292 |
Full Name | Derrick Thomas Rogers |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 25 Years |
Location | 2525 W University Ave, Muncie, 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 |
---|---|---|---|
1013916345 | NPI | - | NPPES |
200949350 | Medicaid | IN | |
2488259 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35.084101 (Ohio) | Secondary |
207Y00000X | Otolaryngology | 01066844 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Ball Memorial Hospital | Muncie, 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 |
Mailing Address | Practice Location Address |
---|---|
Derrick Thomas Rogers, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Derrick Thomas Rogers, MD 2525 W University Ave, Suite 501, Muncie, IN 47303-3421 Ph: (765) 284-2172 |
Dr. Jonathan Lewis Schmidt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Muncie, IN 47303 Phone: 765-284-2172 Fax: 765-288-1292 | |
Dr. Luke Patrick Philippsen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Ste 501, Muncie, IN 47303 Phone: 765-284-2172 Fax: 765-288-1292 |