Edward C Weisberger, MD | |
705 Riley Hospital Dr, Suite 0860, Indianapolis, IN 46202-5128 | |
(317) 948-3226 | |
(317) 944-2443 |
Full Name | Edward C Weisberger |
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Gender | Male |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649200866 | NPI | - | NPPES |
100062530 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01029196A (Indiana) | Secondary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 01029196A (Indiana) | Primary |
Entity Name | University Otolaryngology Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275563447 PECOS PAC ID: 4587550645 Enrollment ID: O20040225000643 |
Mailing Address | Practice Location Address |
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Edward C Weisberger, MD 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Edward C Weisberger, MD 705 Riley Hospital Dr, Suite 0860, Indianapolis, IN 46202-5128 Ph: (317) 948-3226 |
Dr. Bruce H. Matt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Suite 0860, Indianapolis, IN 46202 Phone: 317-944-8620 Fax: 317-944-8080 | |
Dr. Jason J Gutt, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5255 E Stop 11 Rd, Suite 400, Indianapolis, IN 46237 Phone: 317-573-4370 Fax: 317-819-0044 | |
Jessica A. Yesensky, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd Ste 3170, Indianapolis, IN 46202 Phone: 317-948-3226 | |
William R Nunery, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 201 Pennsylvania Pkwy, Suite 225, Indianapolis, IN 46280 Phone: 317-573-1000 Fax: 317-573-0205 | |
Dr. Babar Sultan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 Phone: 317-575-0330 | |
Dr. Eric Y Knoll, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5255 E Stop 11 Rd, Suite 400, Indianapolis, IN 46237 Phone: 317-844-7059 Fax: 317-819-0044 | |
Dr. Benjamin J Copeland, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5255 E Stop 11 Rd Ste 400, Indianapolis, IN 46237 Phone: 317-844-7059 Fax: 317-819-0044 |