| Michael Norton Becker, MD | |
|
642 W Hospital Rd, Paoli, IN 47454-9672 | |
| (812) 723-7450 | |
| (812) 723-7508 |
| Full Name | Michael Norton Becker |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 642 W Hospital Rd, Paoli, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952364580 | NPI | - | NPPES |
| 201348820 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01076449A (Indiana) | Primary |
| 174400000X | Specialist | 3853 (South Dakota) | Secondary |
| Entity Name | Indiana University Health Paoli Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457519324 PECOS PAC ID: 2668426016 Enrollment ID: O20050308001174 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Norton Becker, MD 642 W Hospital Rd, Paoli, IN 47454-9672 Ph: (812) 723-7450 | Michael Norton Becker, MD 642 W Hospital Rd, Paoli, IN 47454-9672 Ph: (812) 723-7450 |
Wayne L Farley Jr., DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7450 Fax: 812-723-7450 | |
Rudolph Carlo King, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7450 Fax: 812-723-7508 |