Dr Robert Todd Rudicel, MD | |
8890 E 116th St, Suite 260, Fishers, IN 46038-2856 | |
(317) 621-8953 | |
(317) 621-4456 |
Full Name | Dr Robert Todd Rudicel |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 8890 E 116th St, Fishers, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629069067 | NPI | - | NPPES |
P01588241 | Other | IN | RR MEDICARE |
7771014 | Other | IN | AETNA HEALTH PLAN |
201103750 | Medicaid | IN | |
000000092060 | Other | IN | ANTHEM HEALTH PLAN |
8349601001 | Other | IN | CIGNA HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01050364B (Indiana) | Secondary |
208000000X | Pediatrics | 01050364A (Indiana) | Primary |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Todd Rudicel, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | Dr Robert Todd Rudicel, MD 8890 E 116th St, Suite 260, Fishers, IN 46038-2856 Ph: (317) 621-8953 |
Aaron Gunnar Shoemaker, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110 | |
Theresa C Treep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10017 Water Crest Drive, Fishers, IN 46038 Phone: 317-776-9214 Fax: 317-776-9219 | |
Heather E Slaven, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9795 E 116th St, Fishers, IN 46037 Phone: 317-913-8100 | |
Dr. Sean C Keller, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13100 E 136th St, Ste 1200, Fishers, IN 46037 Phone: 317-678-3100 Fax: 317-678-3108 | |
Mitchell Alan Harris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13100 E 136th St Ste 1200, Fishers, IN 46037 Phone: 317-678-3100 | |
Anthony Joseph Damore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13121 Olio Rd Ste 260, Fishers, IN 46037 Phone: 317-621-7337 | |
Quinn Danielle Bensi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13121 Olio Rd Ste 340, Fishers, IN 46037 Phone: 317-621-7337 Fax: 317-621-7330 |