Vincent M Bournique, MD | |
8075 N Shadeland Ave, #350, Indianapolis, IN 46250-2693 | |
(317) 678-3900 | |
(317) 841-0395 |
Full Name | Vincent M Bournique |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 8075 N Shadeland Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144287681 | NPI | - | NPPES |
10385690 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 01029804A (Indiana) | Primary |
Entity Name | Mt Graham Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275588345 PECOS PAC ID: 6204822364 Enrollment ID: O20040423000105 |
Mailing Address | Practice Location Address |
---|---|
Vincent M Bournique, MD 1600 S 20th Ave, #350, Safford, AZ 85546-4011 Ph: (928) 348-4037 | Vincent M Bournique, MD 8075 N Shadeland Ave, #350, Indianapolis, IN 46250-2693 Ph: (317) 678-3900 |
Irene A Carrothers, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |