Dr Peter Caccavallo, | |
13000 E 136th St, Suite 1100, Fishers, IN 46037-9478 | |
(317) 678-3585 | |
(317) 863-5084 |
Full Name | Dr Peter Caccavallo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 13000 E 136th St, Fishers, 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 |
---|---|---|---|
1205987252 | NPI | - | NPPES |
51-0456750 | Other | IN | TAX ID |
000000287592 | Other | IN | ANTHEM ID NUMBER |
200316800 | Medicaid | IN | |
P00013960 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1053181A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Union Hospital Inc | Terre haute, IN | Hospital |
Indiana University Health North Hospital | Carmel, IN | Hospital |
Paris Community Hospital | Paris, IL | Hospital |
Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indianapolis Perioperative Medicine, Llc | 7618914706 | 3 |
Entity Name | Indianapolis Perioperative Medicine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720285976 PECOS PAC ID: 7618914706 Enrollment ID: O20050411000597 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Caccavallo, 13000 E 136th St, Suite 1100, Fishers, IN 46037-9478 Ph: (317) 678-3585 | Dr Peter Caccavallo, 13000 E 136th St, Suite 1100, Fishers, IN 46037-9478 Ph: (317) 678-3585 |
Dr. Michele J Ostrowski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110 | |
Tammy N Durham-boring, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-6060 Fax: 317-355-6965 | |
Racquel Kukita Reyes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110 | |
Anna Marie C Sander, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12677 Brookhaven Dr, Fishers, IN 46037 Phone: 317-219-5188 | |
Dr. Derrick A Williams, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 13914 Southeastern Parkway, Suite 210, Fishers, IN 46037 Phone: 317-419-9900 Fax: 317-415-9910 | |
Sridevi A Vedantam, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10318 Copper Ridge Dr, Fishers, IN 46040 Phone: 765-965-6566 |