Eric William Waldo, MD | |
1205 Provident Drive, Suite A, Warsaw, IN 46580-3265 | |
(574) 269-8383 | |
(574) 269-8384 |
Full Name | Eric William Waldo |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1205 Provident Drive, Warsaw, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356501514 | NPI | - | NPPES |
200968810 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01067105A (Indiana) | Secondary |
208M00000X | Hospitalist | 01067105A (Indiana) | Primary |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | University Family Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
Entity Name | Hospitalist Physicians Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967 |
Mailing Address | Practice Location Address |
---|---|
Eric William Waldo, MD 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 Ph: () - | Eric William Waldo, MD 1205 Provident Drive, Suite A, Warsaw, IN 46580-3265 Ph: (574) 269-8383 |
Mr. Brian Gerrit Ockerse, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2101 Dubois Dr, Warsaw, IN 46580 Phone: 317-513-3307 |