Dr Luke Portwood Fife, MD | |
550 S Landmark Ave, Bloomington, IN 47403-3239 | |
(812) 355-6900 | |
(812) 355-6912 |
Full Name | Dr Luke Portwood Fife |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 550 S Landmark Ave, Bloomington, 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 |
---|---|---|---|
1053601682 | NPI | - | NPPES |
7100428850 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 48989 (Kentucky) | Secondary |
208600000X | Surgery | 01087459A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
---|---|
Dr Luke Portwood Fife, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Luke Portwood Fife, MD 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 355-6900 |
Terrence M Greene, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 419 W 1st St, Bloomington, IN 47403 Phone: 812-336-7879 Fax: 812-336-7881 | |
Duangnapa S. Cuddy, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 | |
Dr. Jason Kasza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-2750 Fax: 812-355-2751 | |
Dr. Lindita N Coku, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-334-5081 Fax: 812-334-5091 | |
Mr. Charles R. Mckeen Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 W 1st St, Bloomington, IN 47403 Phone: 812-332-3531 Fax: 812-332-4673 | |
Dr. Raghunandan Lakshmana Motaganahalli, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-355-6900 Fax: 812-339-1292 |