Dr Mary Kathleen Mctigue, MD | |
1200 S Rogers St, Bloomington, IN 47403-4792 | |
(812) 339-6434 | |
(812) 331-0196 |
Full Name | Dr Mary Kathleen Mctigue |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 44 Years |
Location | 1200 S Rogers St, Bloomington, 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 |
---|---|---|---|
1578567343 | NPI | - | NPPES |
100345180 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 01039092A (Indiana) | Secondary |
207N00000X | Dermatology | 01039092A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Center Of Southern Indiana Pc | 9537190095 | 12 |
Entity Name | Dermatology Center Of Southern Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659451755 PECOS PAC ID: 9537190095 Enrollment ID: O20050824000483 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Kathleen Mctigue, MD 1200 S Rogers St, Bloomington, IN 47403-4792 Ph: (812) 339-6434 | Dr Mary Kathleen Mctigue, MD 1200 S Rogers St, Bloomington, IN 47403-4792 Ph: (812) 339-6434 |
Dr. Roxanne Rajaii, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Michelle Gita Baechtold, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Todd Nicholas Troxell, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1010 W 2nd St, Bloomington, IN 47403 Phone: 812-200-2458 Fax: 930-200-8590 | |
Talley Bhanyang Whang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Dr. Eran V Chen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 123-396-4348 Fax: 812-331-0196 | |
Molly Bridget Kitley, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 |