Kenneth M Brantley, MD | |
1801 N Senate Blvd, Ste 230, Indianapolis, IN 46202-1252 | |
(317) 962-5820 | |
(317) 962-3916 |
Full Name | Kenneth M Brantley |
---|---|
Gender | Male |
Speciality | Internal Medicine - Critical Care Medicine |
Location | 1801 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 |
---|---|---|---|
1609825017 | NPI | - | NPPES |
2019408 | Medicaid | NV | |
201165820 | Medicaid | IN |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Kenneth M Brantley, MD 250 N Shadeland Ave, Ste 130 - Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Kenneth M Brantley, MD 1801 N Senate Blvd, Ste 230, Indianapolis, IN 46202-1252 Ph: (317) 962-5820 |
Irene A Carrothers, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |