Gary R Fisch, MD | |
11725 N Illinois St, Suite 265, Carmel, IN 46032-3015 | |
(317) 688-5100 | |
(317) 688-5111 |
Full Name | Gary R Fisch |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 11725 N Illinois St, Carmel, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396759775 | NPI | - | NPPES |
100066370 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 01025668A (Indiana) | Primary |
Entity Name | University Medical Diagnostic Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
Entity Name | Indiana University Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20040407000695 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Gary R Fisch, MD 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 Ph: () - | Gary R Fisch, MD 11725 N Illinois St, Suite 265, Carmel, IN 46032-3015 Ph: (317) 688-5100 |
Dr. Shelagh Anne Fraser, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 12174 N Meridian St Ste 300, Carmel, IN 46032 Phone: 317-688-9000 Fax: 317-680-9900 | |
Shania Grace Mayer, PA-C Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 10300 N Illinois St Ste 1100, Carmel, IN 46290 Phone: 317-944-0980 | |
Robert Mark Kinn, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13806 Stone Dr, Carmel, IN 46032 Phone: 317-893-1900 | |
Olivia Ann Fondoble, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13430 N Meridian St Ste 280, Carmel, IN 46032 Phone: 317-582-8030 | |
Dr. Peter Jerome Bustamante, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13450 N Meridian St Ste 354, Carmel, IN 46032 Phone: 317-338-5100 | |
Thomas L Hutchinson, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 11725 Illinois Street, Suite 465, Carmel, IN 46032 Phone: 317-817-0010 Fax: 317-817-0012 | |
Eric Bain, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 10590 N Meridian St, Carmel, IN 46290 Phone: 317-338-6666 |