Nicole Tien Chao, MD | |
350 S Landmark Ave, Bloomington, IN 47403-5001 | |
(812) 335-2434 | |
(812) 335-7604 |
Full Name | Nicole Tien Chao |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 350 S Landmark Ave, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750320545 | NPI | - | NPPES |
8452278 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37379 (South Carolina) | Secondary |
208000000X | Pediatrics | 01080306A (Indiana) | Primary |
Entity Name | University Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Mailing Address | Practice Location Address |
---|---|
Nicole Tien Chao, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Nicole Tien Chao, MD 350 S Landmark Ave, Bloomington, IN 47403-5001 Ph: (812) 335-2434 |
Audra Janice Kunzman-mazdzer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 | |
Dr. John Stephen Schechter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 719 W 1st St, Bloomington, IN 47403 Phone: 812-339-6151 Fax: 812-339-8884 | |
Jennifer Noel Lennington, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2435 Fax: 812-330-2306 | |
Minxin Fu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 651 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2304 Fax: 812-330-2306 | |
Dr. Sandra C. Castro, MD, FAAP, CHCQM Pediatrics Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 | |
Dr. Michael W Balbus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9852 Fax: 812-353-9278 | |
Elda H Simpson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4935 W Arlington Rd, Bloomington, IN 47404 Phone: 812-353-3800 Fax: 812-353-3770 |