| Derrick Thomas Rogers, MD | |
|
2525 W University Ave, Suite 501, Muncie, IN 47303-3421 | |
| (765) 284-2172 | |
| (765) 288-1292 |
| Full Name | Derrick Thomas Rogers |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 26 Years |
| Location | 2525 W University Ave, Muncie, 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 |
|---|---|---|---|
| 1013916345 | NPI | - | NPPES |
| 200949350 | Medicaid | IN | |
| 2488259 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 35.084101 (Ohio) | Secondary |
| 207Y00000X | Otolaryngology | 01066844 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 314 |
| 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 |
|---|---|
| Derrick Thomas Rogers, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Derrick Thomas Rogers, MD 2525 W University Ave, Suite 501, Muncie, IN 47303-3421 Ph: (765) 284-2172 |
Dr. Jonathan Lewis Schmidt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Muncie, IN 47303 Phone: 765-284-2172 Fax: 765-288-1292 | |
Dr. Luke Patrick Philippsen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Ste 501, Muncie, IN 47303 Phone: 765-284-2172 Fax: 765-288-1292 |