| Beth L Brogan, MD | |
|
8925 N Meridian St, Indianapolis, IN 46260-2386 | |
| (317) 660-4900 | |
| Not Available |
| Full Name | Beth L Brogan |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 26 Years |
| Location | 8925 N Meridian St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700892809 | NPI | - | NPPES |
| 000000339741 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01059082A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Laser And Skin Surgery Center Of Indiana Pc | 5193906899 | 6 |
| Entity Name | Laser And Skin Surgery Center Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912030966 PECOS PAC ID: 5193906899 Enrollment ID: O20110301000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth L Brogan, MD 8925 N Meridian St, Indianapolis, IN 46260-2386 Ph: (317) 660-4900 | Beth L Brogan, MD 8925 N Meridian St, Indianapolis, IN 46260-2386 Ph: (317) 660-4900 |
Kathryn Shrift, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7910 N Shadeland Ave, Indianapolis, IN 46250 Phone: 317-516-5000 Fax: 317-516-5146 | |
Dr. Scott A Fretzin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7910 N Shadeland Ave, Indianapolis, IN 46250 Phone: 317-516-5000 Fax: 317-516-5146 | |
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Tori Nicole Diedring, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7910 N Shadeland Ave, Indianapolis, IN 46250 Phone: 317-516-5000 | |
Dr. Anubhav Narain Mathur, MD/PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1001 W 10th St, Opw M200, Indianapolis, IN 46202 Phone: 317-656-4260 | |
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