Lee G Wilbur, MD | |
1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202-1239 | |
(317) 962-3886 | |
(317) 962-8652 |
Full Name | Lee G Wilbur |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 24 Years |
Location | 1701 N Senate Blvd, 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 |
---|---|---|---|
1003925975 | NPI | - | NPPES |
000000331511 | Other | IN | ANTHEM |
200238230 | Medicaid | IN | |
P00924303 | Other | IN | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01058967A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi-st Vincent Infirmary | Little rock, AR | Hospital |
Chi St Vincent Morrilton | Morrilton, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shiloh Emergency Group Pllc | 6901228154 | 49 |
Entity Name | St Vincent Infirmary Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316991847 PECOS PAC ID: 5698674166 Enrollment ID: O20040103000052 |
Entity Name | St Anthonys Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992137236 PECOS PAC ID: 4082516554 Enrollment ID: O20080125000635 |
Entity Name | Shiloh Emergency Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205458189 PECOS PAC ID: 6901228154 Enrollment ID: O20200617002064 |
Mailing Address | Practice Location Address |
---|---|
Lee G Wilbur, MD 950 N Meridian St, Ste 500 Provider Enrollment, Indianapolis, IN 46204-3908 Ph: (317) 962-4945 | Lee G Wilbur, MD 1701 N Senate Blvd, Rm Ag001, 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 | |
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 | |
Heather Amos, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-0000 | |
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 |