Dr Kenton Shawn Hilbish, MD | |
152 Wittenbraker Ave, New Castle, IN 47362-5000 | |
(765) 599-3100 | |
(765) 518-5365 |
Full Name | Dr Kenton Shawn Hilbish |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 152 Wittenbraker Ave, New Castle, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205061389 | NPI | - | NPPES |
201069150 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01071106 (Indiana) | Primary |
Entity Name | St Vincent Pediatric Subspecialties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenton Shawn Hilbish, MD Po Box 485, New Castle, IN 47362-0485 Ph: (765) 529-0780 | Dr Kenton Shawn Hilbish, MD 152 Wittenbraker Ave, New Castle, IN 47362-5000 Ph: (765) 599-3100 |
Mrs. Angela Sue Fornkohl Blum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N 16th St, Suite G-10, New Castle, IN 47362 Phone: 765-521-0901 Fax: 765-521-9891 | |
Donald Joseph Miller, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N 16th St, New Castle, IN 47362 Phone: 765-599-3177 | |
Dr. Joshua J Underhill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 152 Wittenbraker Ave, New Castle, IN 47362 Phone: 765-599-3100 Fax: 765-518-5365 | |
Mohammad Lutfi Lababidi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 152 Wittenbraker Ave, New Castle, IN 47362 Phone: 765-599-3100 | |
Dr. Robert E Gould, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N 16th St, Suite G-10, New Castle, IN 47362 Phone: 765-521-0901 Fax: 765-521-9891 | |
Mr. Brian William Sykes, Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N 16th St, New Castle, IN 47362 Phone: 765-599-3177 Fax: 765-599-3176 |