Dr Christopher W Kidwell, MD | |
1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | |
(317) 887-7640 | |
Not Available |
Full Name | Dr Christopher W Kidwell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 1664 W Smith Valley Rd, Greenwood, 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 |
---|---|---|---|
1982869590 | NPI | - | NPPES |
200977880 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01067467A (Indiana) | Primary |
207Q00000X | Family Medicine | 11014533A (Indiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jane Pauley Community Health Center Inc | 7618152729 | 59 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Entity Name | Jane Pauley Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730488818 PECOS PAC ID: 7618152729 Enrollment ID: O20150223000139 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher W Kidwell, MD 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Dr Christopher W Kidwell, MD 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 Ph: (317) 887-7640 |
Dr. Elise Rose Laroche, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 317-888-9669 Fax: 317-885-7966 | |
Brittany Y. Simpson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 E County Line Rd, Greenwood, IN 46143 Phone: 317-957-9050 | |
Dr. Charles L Richert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 S State Road 135 Ste 220, Greenwood, IN 46143 Phone: 317-621-2290 | |
Dr. Douglas K Bullington, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 S State Road 135, Suite 200, Greenwood, IN 46143 Phone: 317-535-1876 Fax: 317-535-5049 | |
Philip A. Blaney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 W Stones Crossing Rd Ste 210, Greenwood, IN 46143 Phone: 317-528-2270 Fax: 317-528-2286 | |
Shelley R Stiner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 N State Road 135, Ste 103, Greenwood, IN 46142 Phone: 317-550-4510 Fax: 317-886-4550 | |
Ehab Wanas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869 |