Travis A Richardson, MD | |
1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123-7085 | |
(317) 217-2777 | |
(317) 217-2775 |
Full Name | Travis A Richardson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 1111 Ronald Reagan Pkwy Ste 1400, Avon, 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 |
---|---|---|---|
1073606984 | NPI | - | NPPES |
200525560 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 01049572 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Care Associates Inc | 5799755864 | 905 |
Entity Name | American Health Network Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831236272 PECOS PAC ID: 9830093533 Enrollment ID: O20031124000691 |
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 |
---|---|
Travis A Richardson, MD 1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085 Ph: (317) 217-2777 | Travis A Richardson, MD 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123-7085 Ph: (317) 217-2777 |
Deanna M Fenoughty, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
Julia Lauren Ruckman-long, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
Anita K Mazdai, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
John G Jarrett, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Ronald Reagan Pkwy, Ste C-1100, Avon, IN 46123 Phone: 317-217-2525 | |
Beatrice Soderholm, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 | |
Tiffany J Fan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy Ste 266, Avon, IN 46123 Phone: 317-217-2500 |