| Charles C Mulry, MD | |
|
5901 Technology Center Dr, Indianapolis, IN 46278-6013 | |
| (317) 328-4777 | |
| (317) 715-9965 |
| Full Name | Charles C Mulry |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 5901 Technology Center Dr, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255358149 | NPI | - | NPPES |
| 100332640 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01035356 (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverview Hospital | 1153216627 | 184 |
| Entity Name | Riverview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
| Entity Name | Rush Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497726020 PECOS PAC ID: 7012802754 Enrollment ID: O20040220000164 |
| Entity Name | Northwest Radiology Network Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447259338 PECOS PAC ID: 1557331261 Enrollment ID: O20040729000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles C Mulry, MD 5901 Technology Center Dr, Indianapolis, IN 46278-6013 Ph: (317) 328-4777 | Charles C Mulry, MD 5901 Technology Center Dr, Indianapolis, IN 46278-6013 Ph: (317) 328-4777 |
Jack David Markiewicz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-278-9729 | |
Dr. Caryn C Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Technology Center Dr, Indianapolis, IN 46278 Phone: 317-328-4777 Fax: 317-715-9965 | |
Dr. Stefan Andrew Hoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-806-8260 Fax: 317-806-8296 | |
Sean David Gussick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202 Phone: 317-962-5740 | |
Mark J Paluszny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Angela G Pence, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Dr. Hal D Kipfer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202 Phone: 317-962-6793 Fax: 317-962-8281 |