| Boris Vitvitskiy, DO | |
|
2525 W University Ave, Muncie, IN 47303-3421 | |
| (765) 751-5886 | |
| (765) 751-5889 |
| Full Name | Boris Vitvitskiy |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2525 W University Ave, Muncie, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831517978 | NPI | - | NPPES |
| 300013510 | Medicaid | IN | |
| 000001173448 | Other | IN | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 02005332A (Indiana) | Primary |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Boris Vitvitskiy, DO 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (765) 751-2600 | Boris Vitvitskiy, DO 2525 W University Ave, Muncie, IN 47303-3421 Ph: (765) 751-5886 |
Miriam Lela Ibrahim, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1107 S Tillotson Ave, Ste 1, Muncie, IN 47304 Phone: 765-213-3024 Fax: 765-282-9303 | |
Cody Hartz, MA, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2000 W University Ave, Muncie, IN 47306 Phone: 765-285-4469 | |
Miss Janvi Bhadra, MPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3911 W Clara Ln, Muncie, IN 47304 Phone: 765-587-0241 Fax: 765-245-9833 | |
Dr. Robert A Lillo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3600 W Bethel Ave, Muncie, IN 47304 Phone: 765-284-7738 Fax: 765-213-3713 |