Teresa L Martelli, | |
4111 Gateway Blvd, Newburgh, IN 47630-8954 | |
(812) 853-5300 | |
(812) 858-4660 |
Full Name | Teresa L Martelli |
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Gender | Female |
Speciality | Pediatrics |
Location | 4111 Gateway Blvd, Newburgh, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316367709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01079149A (Indiana) | Primary |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Mailing Address | Practice Location Address |
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Teresa L Martelli, Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 450-6815 | Teresa L Martelli, 4111 Gateway Blvd, Newburgh, IN 47630-8954 Ph: (812) 853-5300 |
Kenneth Herrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Michelle Renee Estep, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-3880 Fax: 812-842-3916 | |
Julie A Hurlock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 | |
Barry S Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 | |
Rangassamy Meibalane, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Maria C Ranola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-450-6815 Fax: 812-450-6822 |