Evan Ray Eckart, MD | |
30 W Rampart St, Suite 170, Shelbyville, IN 46176-8846 | |
(317) 398-7537 | |
(317) 421-0372 |
Full Name | Evan Ray Eckart |
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Gender | Male |
Speciality | Pediatrics |
Location | 30 W Rampart St, Shelbyville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952466435 | NPI | - | NPPES |
200867260 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01063201A (Indiana) | Primary |
Entity Name | Major Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174555692 PECOS PAC ID: 0446167415 Enrollment ID: O20040108000586 |
Mailing Address | Practice Location Address |
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Evan Ray Eckart, MD 30 W Rampart St Ste 200, Shelbyville, IN 46176-8846 Ph: (317) 421-2012 | Evan Ray Eckart, MD 30 W Rampart St, Suite 170, Shelbyville, IN 46176-8846 Ph: (317) 398-7537 |
Anthony Joseph Damore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176 Phone: 317-398-7337 | |
Dr. Paula Ann Gustafson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 W Rampart St, Shelbyville, IN 46176 Phone: 317-398-7337 | |
Kelly Marie Meyer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176 Phone: 317-398-7337 Fax: 317-398-1862 |