Dr Fernando Javier Morell Diaz, MD | |
2101 Jackson St Ste 115, Anderson, IN 46016-4386 | |
(765) 643-6961 | |
Not Available |
Full Name | Dr Fernando Javier Morell Diaz |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 11 Years |
Location | 2101 Jackson St Ste 115, Anderson, 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 |
---|---|---|---|
1083053094 | NPI | - | NPPES |
0301637 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35.133844 (Ohio) | Secondary |
207Y00000X | Otolaryngology | 01087067A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Anderson | Anderson, IN | Hospital |
Ascension St Vincent Fishers | Fishers, IN | Hospital |
Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group Inc | 7012047640 | 626 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Fernando Javier Morell Diaz, MD 2101 Jackson St Ste 115, Anderson, IN 46016-4386 Ph: () - | Dr Fernando Javier Morell Diaz, MD 2101 Jackson St Ste 115, Anderson, IN 46016-4386 Ph: (765) 643-6961 |
James Milligan, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 Fax: 765-642-0408 | |
Scott C Swim, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 | |
Joshua B Greene, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 | |
Ronald J Blevins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 | |
Jennifer Phan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3113 N Broadway Street, Anderson, IN 46012 Phone: 765-298-4660 | |
Peter Nielsen Schilt, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 |