Mitchell Goldman, DO | |
2001 W 86th St, Indianapolis, IN 46260-1902 | |
(317) 802-3140 | |
(317) 870-0499 |
Full Name | Mitchell Goldman |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2001 W 86th St, 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 |
---|---|---|---|
1871687806 | NPI | - | NPPES |
200028500 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 02001386 (Indiana) | Primary |
Entity Name | St. Vincent Emergency Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306891700 PECOS PAC ID: 1759363450 Enrollment ID: O20040720000734 |
Entity Name | Indiana Physician Management-northeast, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740431576 PECOS PAC ID: 0941363071 Enrollment ID: O20090115000124 |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Goldman, DO 4685 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (317) 802-3140 | Mitchell Goldman, DO 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 802-3140 |
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 | |
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 | |
Dr. Kenneth Byerly, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Guion Rd, Indianapolis, IN 46222 Phone: 317-920-7195 Fax: 317-920-7551 |