Katie E Pettit, MD | |
1701 N Senate Blvd, Rm Ag021, Indianapolis, IN 46202-1239 | |
(317) 962-3886 | |
(317) 962-8652 |
Full Name | Katie E Pettit |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1701 N Senate Blvd, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962671602 | NPI | - | NPPES |
200972770 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01064048A (Indiana) | Primary |
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 |
Entity Name | Icem-wishard Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629304134 PECOS PAC ID: 8224162441 Enrollment ID: O20100810000590 |
Mailing Address | Practice Location Address |
---|---|
Katie E Pettit, MD 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Katie E Pettit, MD 1701 N Senate Blvd, Rm Ag021, Indianapolis, IN 46202-1239 Ph: (317) 962-3886 |
Dr. Gina Marie Diantonio Swartzel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, B401, Indianapolis, IN 46202 Phone: 317-962-5975 | |
Randall M. Todd, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-5261 Fax: 317-528-5026 | |
Lee G. Wilbur, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202 Phone: 317-962-3886 Fax: 317-962-8652 | |
Gregory Bauwens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-802-3140 | |
Dr. Jennifer Rae Barker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 Barnhill Dr, Riley Hospital, Indianapolis, IN 46202 Phone: 317-274-4034 | |
Gerald William Godfrey, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 131-752-8814 | |
Dr. Kenneth Byerly, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Guion Rd, Indianapolis, IN 46222 Phone: 317-920-7195 Fax: 317-920-7551 |