James David Spiller, MD | |
1206 E National Ave, Brazil, IN 47834-2718 | |
(812) 254-2760 | |
(812) 254-8636 |
Full Name | James David Spiller |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1206 E National Ave, Brazil, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437114493 | NPI | - | NPPES |
100248350 | Medicaid | IN | |
64872518 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01035720 (Indiana) | Primary |
Entity Name | Emergency Professionals Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
Entity Name | Mid West Hospital Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700341872 PECOS PAC ID: 1658612098 Enrollment ID: O20190411001203 |
Entity Name | Great Lakes Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457816514 PECOS PAC ID: 4789925181 Enrollment ID: O20190412000303 |
Mailing Address | Practice Location Address |
---|---|
James David Spiller, MD 75 Remitt Drive, Lockbox 1430, Chicago, IL 60675-1430 Ph: (866) 916-5259 | James David Spiller, MD 1206 E National Ave, Brazil, IN 47834-2718 Ph: (812) 254-2760 |
Sally J Sidman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1206 E. National Avenue, Brazil, IN 47834 Phone: 812-442-2700 Fax: 812-442-2710 |