Mark D Crowley, MD | |
1000 N Broadway, Peru, IN 46970-1070 | |
(765) 472-5335 | |
Not Available |
Full Name | Mark D Crowley |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1000 N Broadway, Peru, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568442481 | NPI | - | NPPES |
100360420 | Medicaid | IN | |
000000210674 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01040877A (Indiana) | Primary |
Entity Name | Woodlawn Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043 |
Entity Name | Wabash Valley Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891044681 PECOS PAC ID: 4880848530 Enrollment ID: O20130204000433 |
Entity Name | Nes Of Sandusky Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524 |
Mailing Address | Practice Location Address |
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Mark D Crowley, MD 1101 Michigan Ave, Logansport, IN 46947-1528 Ph: (574) 753-1302 | Mark D Crowley, MD 1000 N Broadway, Peru, IN 46970-1070 Ph: (765) 472-5335 |
Jennifer Drancik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W 12th St, Peru, IN 46970 Phone: 765-472-8000 Fax: 260-479-2917 | |
Hammad Liaquat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 661 E Main St, Peru, IN 46970 Phone: 765-472-2519 Fax: 844-397-1309 | |
Ann Virae Collie, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 285 W 12th St Ste 202, Peru, IN 46970 Phone: 765-475-8703 Fax: 765-475-8702 | |
Alice Buckley, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 285 W 12th St Ste 206, Peru, IN 46970 Phone: 765-475-8510 Fax: 765-475-8512 | |
Dr. Steven Wehmeyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W 12th St, Peru, IN 46970 Phone: 765-472-8000 Fax: 260-479-2917 | |
Roderick J Sawyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 285 W 12th St, Suite 206, Peru, IN 46970 Phone: 765-475-8570 Fax: 765-640-8125 |