Martin Julius Andersen, DO | |
1115 Ronald Reagan Pkwy Ste 206, Avon, IN 46123-6911 | |
(317) 217-2200 | |
(317) 217-2205 |
Full Name | Martin Julius Andersen |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 24 Years |
Location | 1115 Ronald Reagan Pkwy Ste 206, Avon, 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 |
---|---|---|---|
1669406237 | NPI | - | NPPES |
200600754 | Other | NC | N.C, MEDICAL BOARD |
200843770 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 200600754 (North Carolina) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 02003131A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Avon Dialysis | Avon, IN | Dialysis facility |
Davita - Westview Dialysis | Indianapolis, IN | Dialysis facility |
Iu Health West Hospital | Avon, IN | Hospital |
Indiana University Health | Indianapolis, IN | Hospital |
Indiana University Health North Hospital | Carmel, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Medical Diagnostic Associates Inc | 3375446347 | 274 |
Entity Name | University Medical Diagnostic Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
Mailing Address | Practice Location Address |
---|---|
Martin Julius Andersen, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Martin Julius Andersen, DO 1115 Ronald Reagan Pkwy Ste 206, Avon, IN 46123-6911 Ph: (317) 217-2200 |
Namrata Shah, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy Ste B1500, Avon, IN 46123 Phone: 317-217-2244 Fax: 317-217-2249 | |
Graham D Dellinger, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-2888 Fax: 317-217-2999 | |
Caitlin M Baxter, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-962-5820 Fax: 317-962-3916 | |
Dr. Stephen H Pollom, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123 Phone: 317-217-2600 Fax: 317-217-2606 | |
Dr. David Lee Hyslop, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6013 Yellow Birch Ct, Avon, IN 46123 Phone: 317-838-7096 | |
Michaela A Besold, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8244 E Us Highway 36, Suite 1320, Avon, IN 46123 Phone: 317-272-7519 Fax: 317-272-3661 | |
Ibrahim S Abu Romeh, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy, Ste 171, Avon, IN 46123 Phone: 317-217-3000 Fax: 317-273-5988 |