Stephen A Phillips, MD | |
1809 S Main St, Upland, IN 46989-9242 | |
(765) 998-6200 | |
(765) 998-6204 |
Full Name | Stephen A Phillips |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1809 S Main St, Upland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669411245 | NPI | - | NPPES |
100173540 | Medicaid | IN | |
P01071459 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01028159 (Indiana) | Primary |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Mailing Address | Practice Location Address |
---|---|
Stephen A Phillips, MD 221 N Celia Ave, Attn: Debera Barker Rcs, Muncie, IN 47303-4609 Ph: (765) 282-8905 | Stephen A Phillips, MD 1809 S Main St, Upland, IN 46989-9242 Ph: (765) 998-6200 |
David E Lentz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 S Main St, Upland, IN 46989 Phone: 765-770-0650 Fax: 765-770-0652 | |
Justina M Girod, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 S Main St, Upland, IN 46989 Phone: 765-770-0650 Fax: 765-770-0652 | |
Ashraf H Hanna, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 S Main St, Upland, IN 46989 Phone: 765-770-0650 Fax: 765-770-0652 |