Dorianne S Marx, MD | |
545 S Boehne Camp Rd, Evansville, IN 47712-3703 | |
(812) 429-1818 | |
(812) 426-9887 |
Full Name | Dorianne S Marx |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 545 S Boehne Camp Rd, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669549101 | NPI | - | NPPES |
64084072 | Other | KY | KY MEDICAID |
200487760 | Medicaid | IN | |
000000323529 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01059045A (Indiana) | Primary |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Mailing Address | Practice Location Address |
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Dorianne S Marx, MD Po Box 3868, Evansville, IN 47737-3868 Ph: (812) 429-1818 | Dorianne S Marx, MD 545 S Boehne Camp Rd, Evansville, IN 47712-3703 Ph: (812) 429-1818 |
Dr. Mohammad I Hussain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 St Marys Dr, Suite 203 E, Evansville, IN 47714 Phone: 812-479-8566 | |
Dr. Carol Lynn Berseth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 Park Plaza Dr, Evansville, IN 47715 Phone: 812-471-8984 | |
William Selby, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7220 E Virginia St, Evansville, IN 47715 Phone: 812-473-8986 | |
Jason R Wiles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4000 | |
Douglas S Palmenter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1231 Washington Square, Evansville, IN 47715 Phone: 812-479-6907 Fax: 812-479-6967 | |
Dr. Lata R Shukla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7220 E Virginia St, Evansville, IN 47715 Phone: 812-473-8986 Fax: 812-471-6692 | |
Richard Cleavelin Probert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 W Division St, Suite 400 West, Evansville, IN 47710 Phone: 812-436-4501 Fax: 812-436-4510 |