Dr Mariellen Dentino, MD | |
3801 Bellemeade Ave Ste 330, Evansville, IN 47714-0113 | |
(812) 479-3125 | |
Not Available |
Full Name | Dr Mariellen Dentino |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 51 Years |
Location | 3801 Bellemeade Ave Ste 330, Evansville, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275533622 | NPI | - | NPPES |
100242750 | Medicaid | IN | |
390004294 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 1024941 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Jasper Dialysis | Jasper, IN | Dialysis facility |
Davita - Paoli Dialysis | Paoli, IN | Dialysis facility |
Ascension St Vincent Evansville | Evansville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Medical Group Llc | 1153493341 | 208 |
Nephrology Associates, Llc | 4688610637 | 8 |
Entity Name | Nephrology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467403758 PECOS PAC ID: 4688610637 Enrollment ID: O20060519000114 |
Entity Name | St Marys Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
Mailing Address | Practice Location Address |
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Dr Mariellen Dentino, MD 3801 Bellemeade Ave Ste 330, Evansville, IN 47714-0113 Ph: () - | Dr Mariellen Dentino, MD 3801 Bellemeade Ave Ste 330, Evansville, IN 47714-0113 Ph: (812) 479-3125 |
Corinne Mbakop, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 533 W Columbia St, Evansville, IN 47710 Phone: 812-492-5202 Fax: 812-450-8102 | |
Maqbool A Ahmed, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9411 Fax: 812-426-9503 | |
Dr. Jerry Becker, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 415 W Columbia St, Evansville, IN 47710 Phone: 812-464-9133 Fax: 812-464-0559 | |
Mubashir A Zahid, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 230, Evansville, IN 47710 Phone: 812-450-8600 Fax: 812-450-8151 | |
Dr. Richard A Wepsic, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St., Suite 230, Evansville, IN 47710 Phone: 812-464-9133 Fax: 812-464-0559 | |
Dr. Jessica L Jeffries, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 519 Harriet St, Evansville, IN 47710 Phone: 812-450-7720 Fax: 812-450-7730 | |
Dr. Bachar Malek, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4972 Lincoln Ave, Suit 101, Evansville, IN 47715 Phone: 812-402-3700 Fax: 812-402-4611 |