Evan R Kokoska, MD | |
2001 W. 86th Street, Pediatric Hospital, Indianapolis, IN 46260 | |
(317) 338-8857 | |
(317) 338-8858 |
Full Name | Evan R Kokoska |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 2001 W. 86th Street, 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 |
---|---|---|---|
1962592469 | NPI | - | NPPES |
150489001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 01053703A (Indiana) | Primary |
Entity Name | St Vincent Pediatric Subspecialties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
Mailing Address | Practice Location Address |
---|---|
Evan R Kokoska, MD 2001 W 86th St, Pediatric Hospital, Indianapolis, IN 46260-1902 Ph: (317) 338-8857 | Evan R Kokoska, MD 2001 W. 86th Street, Pediatric Hospital, Indianapolis, IN 46260 Ph: (317) 338-8857 |
Dr. Saila Thanu Pillai, MD, MS, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Mpc2 #3300, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 | |
Kyle Norris Seudeal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 Phone: 317-865-4800 Fax: 317-865-4806 | |
Shelby Lynn Allen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-0283 | |
Dr. Stephen Neil Quigley, Surgery Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd # Uh1295, Indianapolis, IN 46202 Phone: 317-274-3086 | |
Dr. John J. Coleman Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Dr, Eh 232, Indianapolis, IN 46202 Phone: 317-274-3636 Fax: 317-274-8746 | |
Eric Alan Wiebke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Drive, Eh 5th Floor University Surgeons, Inc, Indianapolis, IN 46202 Phone: 317-274-3086 Fax: 317-274-0241 | |
Jose Perez Garcia, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Mpc2 #3300, Indianapolis, IN 46202 Phone: 317-944-6562 Fax: 317-274-2940 |