Dr Amanda Jean Pettibone-pond, MD | |
1520 S Liberty Dr, Bloomington, IN 47403-5167 | |
(812) 676-4500 | |
(812) 676-4501 |
Full Name | Dr Amanda Jean Pettibone-pond |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 13 Years |
Location | 1520 S Liberty Dr, Bloomington, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790075596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01076608A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
Sentara Leigh Hospital | Norfolk, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Outer Banks Professional Services, Llc | 3173652096 | 83 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Outer Banks Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Jean Pettibone-pond, MD 1520 S Liberty Dr, Bloomington, IN 47403-5167 Ph: (812) 353-3087 | Dr Amanda Jean Pettibone-pond, MD 1520 S Liberty Dr, Bloomington, IN 47403-5167 Ph: (812) 676-4500 |
Dr. Dean L Lenz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4300 Fax: 812-676-4301 | |
Bryan D Hoff, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1302 S Rogers St, Bloomington, IN 47403 Phone: 812-353-3996 Fax: 812-353-5859 | |
Brian J Logue, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2907 S Mcintire Dr, Bloomington, IN 47403 Phone: 812-332-8765 Fax: 812-336-3425 | |
Paula J Bunde, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500 Fax: 812-676-4501 | |
Mr. Eric M Smith, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2907 S Mcintire Dr, Bloomington, IN 47403 Phone: 812-332-8765 Fax: 812-336-3425 | |
Ashley Shumate, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4300 | |
Gregory T Walker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4300 Fax: 812-676-4301 |