Dr Martin Enoc Munoz, | |
1485 Chester Blvd, Reid Pediatric & Internal Medicine, Richmond, IN 47374-1919 | |
(765) 966-5527 | |
(765) 966-5528 |
Full Name | Dr Martin Enoc Munoz |
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Gender | Male |
Speciality | Pediatrics |
Location | 1485 Chester Blvd, Richmond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144665472 | NPI | - | NPPES |
000001018795 | Other | IN | ANTHEM |
0171434 | Medicaid | OH | |
201361720 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01076999A (Indiana) | Primary |
Entity Name | Reid Physician Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265689111 PECOS PAC ID: 6406910769 Enrollment ID: O20090130000573 |
Mailing Address | Practice Location Address |
---|---|
Dr Martin Enoc Munoz, 1100 Reid Pkwy, Medical Staff Services, Richmond, IN 47374-1157 Ph: (765) 966-5527 | Dr Martin Enoc Munoz, 1485 Chester Blvd, Reid Pediatric & Internal Medicine, Richmond, IN 47374-1919 Ph: (765) 966-5527 |
Hira Ahmed, Pediatrics Medicare: Medicare Enrolled Practice Location: 1485 Chester Blvd., Reid Pediatric & Internal Medicine, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5528 | |
Loretta A Ryan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1434 Chester Blvd, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5527 | |
Paul S Rider, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1434 Chester Blvd, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5527 | |
Wendi Wang, Pediatrics Medicare: Medicare Enrolled Practice Location: 1485 Chester Blvd, Richmond, IN 47374 Phone: 659-665-5277 Fax: 765-966-5528 | |
Calli Fletcher Morris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3000 |