Mary Melinda Weakley, MD | |
350 S Landmark Ave, Bloomington, IN 47403 | |
(812) 332-9874 | |
(812) 335-7604 |
Full Name | Mary Melinda Weakley |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 350 S Landmark Ave, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801868989 | NPI | - | NPPES |
200110220A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 01041728A (Indiana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 01041728A (Indiana) | Primary |
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 |
---|---|
Mary Melinda Weakley, MD 350 S Landmark Ave, Bloomington, IN 47403-5001 Ph: (812) 332-9874 | Mary Melinda Weakley, MD 350 S Landmark Ave, Bloomington, IN 47403 Ph: (812) 332-9874 |
Jonathan Wicks, ATC, LAT, M.ED Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 17th St, Bloomington, IN 47408 Phone: 812-855-7920 | |
Dr. James G Marencik, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109 | |
Dr. David Austin Duncan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5630 Fax: 812-353-5441 | |
Alvin Perry Griffith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-5603 Fax: 812-353-3451 | |
Marina Bota, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
Abdulrahim Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5222 Fax: 812-353-5262 | |
Joel Harold Griffith, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 |