Dr David William Tesar, MD | |
583 S Clarizz Blvd, Bloomington, IN 47401-5515 | |
(812) 676-4460 | |
(812) 355-4092 |
Full Name | Dr David William Tesar |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 583 S Clarizz Blvd, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205913746 | NPI | - | NPPES |
090540871 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 35066615 (Ohio) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 01064317A (Indiana) | Primary |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Entity Name | Lake Hospital System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
Entity Name | Cleveland Clinic Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366433195 PECOS PAC ID: 0547156796 Enrollment ID: O20040224001287 |
Entity Name | Mercy Health Physicians-north Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
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Dr David William Tesar, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr David William Tesar, MD 583 S Clarizz Blvd, Bloomington, IN 47401-5515 Ph: (812) 676-4460 |
Jonathan Wicks, ATC, LAT, M.ED Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 17th St, Bloomington, IN 47408 Phone: 812-855-7920 | |
Dr. James G Marencik, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109 | |
Dr. David Austin Duncan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5630 Fax: 812-353-5441 | |
Alvin Perry Griffith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-5603 Fax: 812-353-3451 | |
Marina Bota, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
Abdulrahim Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5222 Fax: 812-353-5262 | |
Joel Harold Griffith, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 |