| Christopher Zietlow, MD PHD | |
|
1201 Hadley Rd, Mooresville, IN 46158-1737 | |
| (317) 834-3263 | |
| (317) 834-5194 |
| Full Name | Christopher Zietlow |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 1201 Hadley Rd, Mooresville, 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 |
|---|---|---|---|
| 1609036375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-090815 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 01065671A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Bloomington, IN | Home health agency |
| Monroe Hospital | Bloomington, IN | Hospital |
| Gibson General Hospital | Princeton, IN | Hospital |
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monroe Medical Group Inc | 0446576680 | 24 |
| Entity Name | Johnson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585 |
| Entity Name | Monroe Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568627206 PECOS PAC ID: 0446576680 Enrollment ID: O20150305000230 |
| Entity Name | Mid West Hospital Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700341872 PECOS PAC ID: 1658612098 Enrollment ID: O20190411001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Zietlow, MD PHD 1155 W Jefferson St, Ste 104, Franklin, IN 46131-2731 Ph: (317) 834-3263 | Christopher Zietlow, MD PHD 1201 Hadley Rd, Mooresville, IN 46158-1737 Ph: (317) 834-3263 |
Anthony A Andres, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1199 Hadley Rd Ste 100, Mooresville, IN 46158 Phone: 317-834-3263 Fax: 317-834-5194 |