Jeffrey D Macke, MD | |
705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | |
(317) 274-7208 | |
(317) 274-3442 |
Full Name | Jeffrey D Macke |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 37 Years |
Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174632129 | NPI | - | NPPES |
3810016820 | Medicaid | WV | |
64879174 | Medicaid | KY | |
1801844 | Medicaid | LA | |
000000354896 | Other | ANTHEM-DEAC-350593390 | |
100132000 | Medicaid | IN | |
1011442 | Medicaid | VT | |
350593390-042 | Other | TRICARE-DEAC-350593390 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LC0200X | Anesthesiology - Critical Care Medicine | 01038187 (Indiana) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 01038187 (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Pediatric Associates, Inc. | 2163326794 | 135 |
Entity Name | University Pediatric Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 |
Entity Name | Deaconess Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey D Macke, MD Po Box 1026, Indianapolis, IN 46206-1026 Ph: (317) 274-1201 | Jeffrey D Macke, MD 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 Ph: (317) 274-7208 |
Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 | |
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067 | |
Katherine Carlsen Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202 Phone: 317-962-3525 | |
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646 | |
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022 | |
Dr. Alka Khaitan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr Rr230, Indianapolis, IN 46202 Phone: 317-944-7260 | |
Dr. Leslie Anne Enane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-7260 Fax: 317-948-0860 |