Matthew J Henry, MD | |
705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | |
(317) 944-5000 | |
(317) 963-5492 |
Full Name | Matthew J Henry |
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Gender | Male |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 705 Riley Hospital Dr, 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 |
---|---|---|---|
1063032068 | NPI | - | NPPES |
1103693241 | Other | IN | ANTHEM PTAN |
300090103 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME161547 (Florida) | Secondary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 01093140A (Indiana) | Primary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Matthew J Henry, MD 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 Ph: (317) 880-3900 | Matthew J Henry, MD 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 Ph: (317) 944-5000 |
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 |