Ethan L Ferguson, MD | |
1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 | |
(317) 962-3700 | |
(317) 962-2893 |
Full Name | Ethan L Ferguson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 8 Years |
Location | 1801 N Senate Blvd Suite 220, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043666191 | NPI | - | NPPES |
300078672 | Medicaid | IN | |
064740077 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01090971A (Indiana) | Secondary |
208800000X | Urology | 35.142317 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Indiana University Health North Hospital | Carmel, IN | Hospital |
Eskenazi Health | Indianapolis, IN | Hospital |
Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Urologists Inc Pc | 4284604208 | 34 |
Entity Name | University Urologists Inc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104877141 PECOS PAC ID: 4284604208 Enrollment ID: O20040728000391 |
Mailing Address | Practice Location Address |
---|---|
Ethan L Ferguson, MD 1801 N Senate Blvd Ste 220, Indianapolis, IN 46202-1260 Ph: (317) 962-3700 | Ethan L Ferguson, MD 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 Ph: (317) 962-3700 |
Hristos Kaimakliotis, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-948-6351 | |
Dr. Charles Randall Powell Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 535 Barnhill Dr., Indianapolis, IN 46202 Phone: 317-274-4622 Fax: 317-274-0174 | |
Kelly Clint Cary, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 535 Barnhill Dr, Ste 420, Indianapolis, IN 46202 Phone: 317-278-1979 Fax: 317-278-1981 | |
Jacob D Mcfadden, M.D. Urology Medicare: Medicare Enrolled Practice Location: 535 Barnhill Dr Ste 150, Indianapolis, IN 46202 Phone: 317-278-0221 | |
Alexander J Tatem, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8240 Naab Rd Ste 220, Indianapolis, IN 46260 Phone: 317-890-2000 | |
Dr. John C Ramsey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8240 Naab Rd Ste 200, Indianapolis, IN 46260 Phone: 317-890-2000 Fax: 317-876-2320 |