Eric O'banion, MD | |
3506 S Lafountain St, Kokomo, IN 46902-3803 | |
(765) 864-6700 | |
(765) 864-6703 |
Full Name | Eric O'banion |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3506 S Lafountain St, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700871720 | NPI | - | NPPES |
200127750 | Medicaid | IN | |
P01270966 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01046954 (Indiana) | Primary |
Entity Name | Community Physicians Of Indiana Inc |
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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 |
---|---|
Eric O'banion, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: () - | Eric O'banion, MD 3506 S Lafountain St, Kokomo, IN 46902-3803 Ph: (765) 864-6700 |
Jeniffer Forson, Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700 | |
Dr. Samatha Madhavarapu, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 | |
Jared A Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 765-236-8282 | |
Dana Y Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-583-3332 Fax: 317-583-2805 | |
Dr. Benjamin F Weston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2130 W Sycamore St Ste 260, Kokomo, IN 46901 Phone: 765-236-8457 | |
Mohanjit Gill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3506 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-6700 Fax: 765-864-6703 | |
Craig Pawlowski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700 Fax: 765-453-8191 |