| Amber Boksa, DO | |
|
10801 N Michigan Rd, Zionsville, IN 46077-8170 | |
| (317) 344-1234 | |
| Not Available |
| Full Name | Amber Boksa |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 10801 N Michigan Rd, Zionsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255863742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 02005985A (Indiana) | Primary |
| 208000000X | Pediatrics | 1255863742 (New Jersey) | Secondary |
| Entity Name | St Vincent Physician Services Hospital And Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092 |
| Entity Name | St Vincent Pediatric Subspecialties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Boksa, DO 10801 N Michigan Rd, Zionsville, IN 46077-8170 Ph: (317) 344-1234 | Amber Boksa, DO 10801 N Michigan Rd, Zionsville, IN 46077-8170 Ph: (317) 344-1234 |
Janice Kunkel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6085 Heartland Dr Ste 208, Zionsville, IN 46077 Phone: 317-768-2222 Fax: 317-768-2229 | |
Karen M Wheeler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1650 W Oak St, Ste 210, Zionsville, IN 46077 Phone: 317-873-8855 Fax: 317-873-8853 | |
Beata E Samuel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 51 N Ford Rd, Zionsville, IN 46077 Phone: 317-973-3333 | |
Jane W Buroker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6085 Heartland Dr Ste 208, Zionsville, IN 46077 Phone: 317-768-2222 Fax: 317-768-2229 | |
Dr. Katherine Moss Pedersen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 51 N Ford Rd, Zionsville, IN 46077 Phone: 317-973-3333 | |
Danielle N Wiese, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1650 W Oak St, Suite 210, Zionsville, IN 46077 Phone: 317-873-8855 |