Gregory Austin Politzer, MD | |
301 Henry St, North Vernon, IN 47265-1030 | |
(812) 352-4300 | |
(812) 352-4301 |
Full Name | Gregory Austin Politzer |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 301 Henry St, North Vernon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457310195 | NPI | - | NPPES |
64109325 | Medicaid | KY | |
200531810 | Medicaid | IN | |
2618993 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 39720 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 01069078A (Indiana) | Primary |
Entity Name | Lake Spring Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568954287 PECOS PAC ID: 1254689482 Enrollment ID: O20180806000449 |
Mailing Address | Practice Location Address |
---|---|
Gregory Austin Politzer, MD 301 Henry St, North Vernon, IN 47265-1030 Ph: (812) 352-4300 | Gregory Austin Politzer, MD 301 Henry St, North Vernon, IN 47265-1030 Ph: (812) 352-4300 |
Sesame Dijeng, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4454 | |
Jennifer Lynn Stanley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
John Benet Schuck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
Dr. Stephanie M Johnson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4454 Fax: 812-418-4230 | |
Dr. Neil Strait Hill, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 939 Veterans Dr, Suite A, North Vernon, IN 47265 Phone: 812-352-8333 Fax: 812-352-8233 | |
Dr. Anton Grankin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 |