Dr Ricardo R Dorotheo Iii, MD | |
1600 23rd St, Bedford, IN 47421-4704 | |
(812) 276-1240 | |
(812) 276-1237 |
Full Name | Dr Ricardo R Dorotheo Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1600 23rd St, Bedford, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639193550 | NPI | - | NPPES |
200008310 | Medicaid | IN | |
000000594471 | Other | IN | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01042508A (Indiana) | Primary |
Entity Name | Indiana Emergency Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477930089 PECOS PAC ID: 4385541614 Enrollment ID: O20031216000135 |
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 |
---|---|
Dr Ricardo R Dorotheo Iii, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Ricardo R Dorotheo Iii, MD 1600 23rd St, Bedford, IN 47421-4704 Ph: (812) 276-1240 |
Marie Nowak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1381 Fax: 812-275-1299 | |
Eric V Schulz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331 Fax: 812-276-1263 | |
Dr. Carlito D Sabandal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1200 Fax: 812-275-1299 | |
Dr. Christopher L Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1299 | |
Dr. Michael Louis Martino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1381 Fax: 812-275-1299 | |
Omar Louis Hamada, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1381 Fax: 812-275-1299 |