Laura Bryce Knudson, MD | |
600 N Eagleson Ave, Bloomington, IN 47405-3190 | |
(812) 855-6511 | |
(128) 855-8722 |
Full Name | Laura Bryce Knudson |
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Gender | Female |
Speciality | Family Medicine |
Location | 600 N Eagleson Ave, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811140064 | NPI | - | NPPES |
090540053 | Other | IN | MEDICARE PTAN |
201203450 | Medicaid | IN | |
000000851661 | Other | IN | ANTHEM PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01073231A (Indiana) | Primary |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
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Laura Bryce Knudson, MD 600 N Eagleson Ave, Bloomington, IN 47405-3190 Ph: (812) 855-6511 | Laura Bryce Knudson, MD 600 N Eagleson Ave, Bloomington, IN 47405-3190 Ph: (812) 855-6511 |
Mahesh Kumar Sreedasyam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-353-3060 Fax: 812-353-3070 | |
Thomas W. Sharp, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 S Landmark Ave, Bloomington, IN 47403 Phone: 812-333-3300 Fax: 812-331-3311 | |
Dr. Howis Yvette Aros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515 | |
Winford Robert Erwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N Curry Pike, Bloomington, IN 47404 Phone: 812-339-9980 Fax: 812-349-4007 | |
Diana Ebling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-4055 Fax: 812-855-4628 | |
Heather A Dickerson, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5921 W State Road 46, Bloomington, IN 47404 Phone: 812-835-8866 | |
Cathy Ann Snyder, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-0619 |