Dr Jeremy Scott Wittenborn, MD | |
5510 S East St Ste H, Indianapolis, IN 46227-1939 | |
(317) 924-8425 | |
(317) 924-8424 |
Full Name | Dr Jeremy Scott Wittenborn |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 21 Years |
Location | 5510 S East St Ste H, Indianapolis, 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 |
---|---|---|---|
1255340691 | NPI | - | NPPES |
000000612520 | Other | IN | ANTHEM PIN |
200836520 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 01062568A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Hendricks County | Danville, IN | Dialysis facility |
Fmc - Indianapolis-west | Indianapolis, IN | Dialysis facility |
Fresenius Medical Care Indiana, Llc | Indianapolis, IN | Dialysis facility |
Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
Indiana University Health | Indianapolis, IN | Hospital |
Hendricks Regional Health | Danville, IN | Hospital |
Putnam County Hospital | Greencastle, IN | Hospital |
Community Hospital South, Inc. | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephrology Associates Of Northern Indiana Pc | 8921033440 | 72 |
Entity Name | Nephrology & Internal Medicine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013943109 PECOS PAC ID: 2264327881 Enrollment ID: O20040220000775 |
Entity Name | Nephrology Associates Of Northern Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578505814 PECOS PAC ID: 8921033440 Enrollment ID: O20051003000799 |
Entity Name | Nephrology Associates Of Northern Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20170705000259 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Scott Wittenborn, MD 120 W 22nd St Ste 200, Oak Brook, IL 60523-1563 Ph: (630) 573-5000 | Dr Jeremy Scott Wittenborn, MD 5510 S East St Ste H, Indianapolis, IN 46227-1939 Ph: (317) 924-8425 |
Irene A Carrothers, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Nephrology Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |