Dr Aubrey Bonhivert, MD | |
900 Averitt Rd, Greenwood, IN 46143-9540 | |
(317) 865-3115 | |
(317) 885-1429 |
Full Name | Dr Aubrey Bonhivert |
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Gender | Female |
Speciality | Pediatrics |
Location | 900 Averitt Rd, Greenwood, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275950719 | NPI | - | NPPES |
300007682 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125065534 (Illinois) | Secondary |
208000000X | Pediatrics | 01080505A (Indiana) | Primary |
Entity Name | Pediatric Faculty Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Mailing Address | Practice Location Address |
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Dr Aubrey Bonhivert, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Aubrey Bonhivert, MD 900 Averitt Rd, Greenwood, IN 46143-9540 Ph: (317) 865-3115 |
Dr. Melissa G Collier, MD, MPH, FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 65 Airport Pkwy, Ste 114, Greenwood, IN 46143 Phone: 317-807-0268 | |
Dr. James A. Shmalo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 373 Meridian Parke Ln, Suite C-1, Greenwood, IN 46142 Phone: 317-882-0136 Fax: 317-882-3123 | |
Dr. Jennifer Lynn Havener, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Dr. Mary Elise Hodson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 Averitt Rd, Greenwood, IN 46143 Phone: 317-865-3115 Fax: 317-885-1429 | |
Dr. Megan Engle Ciaccio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 S Us 31, Greenwood, IN 46143 Phone: 317-736-5515 Fax: 317-738-0198 | |
Melissa Marie Michels, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Kathryn Elaine Kasyjanski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd, Suite B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 |