Dr Thomas M Pope Ii, MD | |
1025 New Moody Ln, Lagrange, IN 40031 | |
(502) 222-3347 | |
Not Available |
Full Name | Dr Thomas M Pope Ii |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1025 New Moody Ln, Lagrange, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184727448 | NPI | - | NPPES |
64015001 | Medicaid | KY | |
27299 | Other | KY | KY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 27299 (Kentucky) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Mailing Address | Practice Location Address |
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Dr Thomas M Pope Ii, MD Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 489-5730 | Dr Thomas M Pope Ii, MD 1025 New Moody Ln, Lagrange, IN 40031 Ph: (502) 222-3347 |
Dr. Sherriff Alli-balogun, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 207 N Townline Rd, Lagrange, IN 46761 Phone: 260-463-9112 | |
Abhishek Prabhu, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 207 N Townline Rd, Lagrange, IN 46761 Phone: 260-482-4440 |