Michael J Wilson, MD | |
3401 E Raymond St, Indianapolis, IN 46203-4744 | |
(317) 488-2020 | |
Not Available |
Full Name | Michael J Wilson |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 24 Years |
Location | 3401 E Raymond St, Indianapolis, Indiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942259676 | NPI | - | NPPES |
200309370 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01058771A (Indiana) | Secondary |
207R00000X | Internal Medicine | 01058771A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
Entity Name | Healthnet Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780634964 PECOS PAC ID: 7214840933 Enrollment ID: O20031110000227 |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
---|---|
Michael J Wilson, MD 3401 E Raymond St, Indianapolis, IN 46203-4744 Ph: () - | Michael J Wilson, MD 3401 E Raymond St, Indianapolis, IN 46203-4744 Ph: (317) 488-2020 |
Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |