Mark Stice, | |
1120 W Michigan St # Cl285, Indianapolis, IN 46202-5209 | |
(317) 278-0042 | |
Not Available |
Full Name | Mark Stice |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1120 W Michigan St # Cl285, 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 |
---|---|---|---|
1962062406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01089719A (Indiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Lakeview Memorial Hospital Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543 |
Mailing Address | Practice Location Address |
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Mark Stice, 1120 W Michigan St # Cl285, Indianapolis, IN 46202-5209 Ph: () - | Mark Stice, 1120 W Michigan St # Cl285, Indianapolis, IN 46202-5209 Ph: (317) 278-0042 |
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 | |
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 |