Roberta A Hibbard, MD | |
1001 W 10th St, B2100, Indianapolis, IN 46202-2859 | |
(317) 630-7865 | |
(317) 630-2587 |
Full Name | Roberta A Hibbard |
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Gender | Female |
Speciality | Pediatrics - Child Abuse Pediatrics |
Location | 1001 W 10th 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 |
---|---|---|---|
1649387473 | NPI | - | NPPES |
100238580 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01034240 (Indiana) | Secondary |
2080C0008X | Pediatrics - Child Abuse Pediatrics | 01034240 (Indiana) | Primary |
Entity Name | University Pediatric Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 |
Mailing Address | Practice Location Address |
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Roberta A Hibbard, MD Po Box 1026, Indianapolis, IN 46206-1026 Ph: (317) 274-1201 | Roberta A Hibbard, MD 1001 W 10th St, B2100, Indianapolis, IN 46202-2859 Ph: (317) 630-7865 |
Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 | |
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067 | |
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646 | |
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022 | |
Dr. Alka Khaitan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr Rr230, Indianapolis, IN 46202 Phone: 317-944-7260 | |
Dr. Leslie Anne Enane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-7260 Fax: 317-948-0860 | |
Christine Nix, Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 Phone: 317-944-4034 |