Glenn A Mandeville, MD | |
1429 N 6th St, Terre Haute, IN 47807-1037 | |
(812) 242-3110 | |
(812) 242-3795 |
Full Name | Glenn A Mandeville |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1429 N 6th St, Terre Haute, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942318795 | NPI | - | NPPES |
020024441 | Other | RAILROAD MCARE PALAMETTO | |
100337060 | Medicaid | IN | |
P00834915 | Other | IN | RAILROAD MEDICARE |
000000089623 | Other | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01041222A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Glenn A Mandeville, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3110 | Glenn A Mandeville, MD 1429 N 6th St, Terre Haute, IN 47807-1037 Ph: (812) 242-3110 |
Douglas Justin Mcguirk, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 N 5th St, Terre Haute, IN 47804 Phone: 812-242-3005 Fax: 812-242-3054 | |
Custodio L. Lim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Wabash Ave, Terre Haute, IN 47807 Phone: 812-234-5273 Fax: 812-232-4714 | |
Dr. Rebecca Elizabeth Lynch, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1818 N 6th St, Terre Haute, IN 47804 Phone: 812-232-1123 Fax: 812-232-1409 | |
Alan Alejandro Reyes Cruz, MD Surgery Medicare: Medicare Enrolled Practice Location: 3903 S 7th St Ste 2f, Terre Haute, IN 47802 Phone: 812-234-5400 Fax: 812-234-5420 | |
Dr. Christopher A Lueking, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1818 N 6th St, Terre Haute, IN 47804 Phone: 812-232-1123 Fax: 812-232-1409 | |
Timothy Diaz, DO Surgery Medicare: Medicare Enrolled Practice Location: 1818 N 6th St, Terre Haute, IN 47804 Phone: 812-232-1123 | |
Dr. Francis V. Tapia, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3311 S 7th St, Terre Haute, IN 47802 Phone: 812-242-9900 Fax: 812-242-9911 |