Dr Robert E Dicks, MD | |
701 E County Line Rd, Suite 250, Greenwood, IN 46143-1072 | |
(317) 882-0535 | |
(317) 882-0173 |
Full Name | Dr Robert E Dicks |
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Gender | Male |
Speciality | Family Medicine |
Location | 701 E County Line Rd, Greenwood, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134193188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01022713A (Indiana) | Primary |
Entity Name | Grand Ole Docs Of The Southside Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871693994 PECOS PAC ID: 3779671441 Enrollment ID: O20071113000607 |
Mailing Address | Practice Location Address |
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Dr Robert E Dicks, MD 701 E County Line Rd, Suite 250, Greenwood, IN 46143-1072 Ph: (317) 882-0535 | Dr Robert E Dicks, MD 701 E County Line Rd, Suite 250, Greenwood, IN 46143-1072 Ph: (317) 882-0535 |
Dr. Elise Rose Laroche, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 317-888-9669 Fax: 317-885-7966 | |
Brittany Y. Simpson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 E County Line Rd, Greenwood, IN 46143 Phone: 317-957-9050 | |
Dr. Charles L Richert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 S State Road 135 Ste 220, Greenwood, IN 46143 Phone: 317-621-2290 | |
Dr. Douglas K Bullington, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 S State Road 135, Suite 200, Greenwood, IN 46143 Phone: 317-535-1876 Fax: 317-535-5049 | |
Philip A. Blaney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 W Stones Crossing Rd Ste 210, Greenwood, IN 46143 Phone: 317-528-2270 Fax: 317-528-2286 | |
Shelley R Stiner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 N State Road 135, Ste 103, Greenwood, IN 46142 Phone: 317-550-4510 Fax: 317-886-4550 | |
Ehab Wanas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869 |