| Indiana Blood And Marrow Transplantation Llc | |
|
8111 S Emerson Ave Suite 105 Indianapolis IN 46237-8601 | |
| (317) 528-5500 | |
| (317) 528-7356 |
| Full Name | Indiana Blood And Marrow Transplantation Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8111 S Emerson Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Donna Phalen (DIRECTOR REV INTEGRITY) |
| Authorized Official Contact | 2195544548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Blood And Marrow Transplantation Llc Po Box 781090 Detroit MI 48278-1090 Ph: (317) 528-4800 | Indiana Blood And Marrow Transplantation Llc 8111 S Emerson Ave Suite 105 Indianapolis IN 46237-8601 Ph: (317) 528-5500 |
| NPI Number | 1275647083 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 2264558626 |
|---|---|
| Medicare Enrollment ID | O20100923000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275647083 | NPI | - | NPPES |
| 100131340 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anand Tandra |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1649495854 PECOS PAC ID: 2769574110 Enrollment ID: I20070815000594 |
| Provider Name | Michael J Dugan |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1437263399 PECOS PAC ID: 8628194990 Enrollment ID: I20101007001378 |
| Provider Name | Luke P Akard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780798660 PECOS PAC ID: 9537285903 Enrollment ID: I20101007001411 |
| Provider Name | Francine M Figg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629511365 PECOS PAC ID: 5991087801 Enrollment ID: I20170127001787 |
| Provider Name | Felix Augustine Mensah |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1508036559 PECOS PAC ID: 4880864883 Enrollment ID: I20210723002686 |
| Provider Name | Samantha Jo Levering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194476036 PECOS PAC ID: 2163878653 Enrollment ID: I20231019000329 |
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