Steven M Clark, MD | |
701 E County Line Road, Suite 201, Greenwood, IN 46143 | |
(317) 865-8000 | |
(317) 865-8012 |
Full Name | Steven M Clark |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 37 Years |
Location | 701 E County Line Road, Greenwood, 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 |
---|---|---|---|
1285664052 | NPI | - | NPPES |
000000091132 | Other | IN | ANTHEM BLUE CROSS |
020047583 | Other | IN | MEDICARE RAILROAD |
10781002 | Other | CAQH ID | |
200281580A | Medicaid | IN | |
P01456868 | Other | IN | MEDICARE RR |
000000014025 | Other | IN | MDWISE/PROHEALTH |
5263695 | Other | IN | AETNA ELIGIBILITY ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01052195A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital South, Inc. | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Physicians Of Indiana Inc | 1759416662 | 1292 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Steven M Clark, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | Steven M Clark, MD 701 E County Line Road, Suite 201, Greenwood, IN 46143 Ph: (317) 865-8000 |
Stephen J O'neil, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 East County Line Road, Suite 201, Greenwood, IN 46143 Phone: 317-865-8000 Fax: 317-865-8012 | |
Edward John Diekhoff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 201, Greenwood, IN 46143 Phone: 317-865-8000 Fax: 317-865-8012 | |
Paul Jason Bowlds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 201, Greenwood, IN 46143 Phone: 317-865-8000 Fax: 317-865-8012 | |
Dr. Werner Heinrich Henning, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1230 Colinbrook Cir, Greenwood, IN 46143 Phone: 317-370-0157 |