Ruben Hernan Hernandez Mondragon, MD | |
1040 Wishard Blvd, Indianapolis, IN 46202-2872 | |
(317) 962-8893 | |
(317) 962-2990 |
Full Name | Ruben Hernan Hernandez Mondragon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 1040 Wishard Blvd, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013181387 | NPI | - | NPPES |
200898960 | Medicaid | IN | |
000000591255 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01065039A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Family Physicians, Inc. | 7911992797 | 424 |
Entity Name | University Family Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Ruben Hernan Hernandez Mondragon, MD 250 N Shadeland Ave, Ste 130 - Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Ruben Hernan Hernandez Mondragon, MD 1040 Wishard Blvd, Indianapolis, IN 46202-2872 Ph: (317) 962-8893 |
Leigha Marie Murphy, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256 Phone: 317-735-6001 Fax: 855-450-1177 | |
Donald H Lauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227 Phone: 317-881-9797 Fax: 317-881-4156 | |
Robert Kiess Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9560 E 59th St, Indianapolis, IN 46216 Phone: 317-621-1700 Fax: 317-621-1711 | |
Dr. Bernard M Herbst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5839 E Washington St, Indianapolis, IN 46219 Phone: 317-353-9777 Fax: 317-357-6922 | |
Teresa Trierweiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254 Phone: 317-293-4113 Fax: 317-290-2542 | |
Dr. Phumeza Msikinya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227 Phone: 317-497-1900 |