Mr David Kevin Reyburn, MD | |
1400 E 9th St, Rochester, IN 46975-8931 | |
(574) 223-2020 | |
(574) 223-5847 |
Full Name | Mr David Kevin Reyburn |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1400 E 9th St, Rochester, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346242294 | NPI | - | NPPES |
200035290A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01042178 (Indiana) | Primary |
Entity Name | Woodlawn Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043 |
Mailing Address | Practice Location Address |
---|---|
Mr David Kevin Reyburn, MD 710 N State Road 25, Rochester, IN 46975-9785 Ph: (574) 223-8080 | Mr David Kevin Reyburn, MD 1400 E 9th St, Rochester, IN 46975-8931 Ph: (574) 223-2020 |
Mr. Jerrod A Feldman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 E 9th St, Rochester, IN 46975 Phone: 574-223-2020 Fax: 574-223-5847 | |
Dr. Eileen Rodriguez Hsu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 740 N State Road 25, Rochester, IN 46975 Phone: 574-223-6080 Fax: 574-224-6080 | |
Dr. Rajashree Mohanty, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1725 Colonial Dr, Apt 25, Rochester, IN 46975 Phone: 317-496-4836 |