| Anoush Jidarian, MD | |
|
1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | |
| (317) 962-3400 | |
| (317) 963-5446 |
| Full Name | Anoush Jidarian |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hospice And Palliative Medicine |
| Location | 1111 Ronald Reagan Pkwy, Avon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861655441 | NPI | - | NPPES |
| 1100207252 | Other | IN | ANTHEM PTAN |
| P01549401 | Other | IN | MEDICARE RAILROAD PTAN |
| 003000013A,B | Medicaid | GA | |
| 201284900 | Medicaid | IN |
| Entity Name | Indiana Clinic Critical Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417285230 PECOS PAC ID: 3678600988 Enrollment ID: O20100419000408 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Anoush Jidarian, MD 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: () - | Anoush Jidarian, MD 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: (317) 962-3400 |
Namrata Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy Ste B1500, Avon, IN 46123 Phone: 317-217-2244 Fax: 317-217-2249 | |
Graham D Dellinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-2888 Fax: 317-217-2999 | |
Dr. Stephen H Pollom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123 Phone: 317-217-2600 Fax: 317-217-2606 | |
Dr. David Lee Hyslop, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6013 Yellow Birch Ct, Avon, IN 46123 Phone: 317-838-7096 | |
Meagan E Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-944-0920 | |
Michaela A Besold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8244 E Us Highway 36, Suite 1320, Avon, IN 46123 Phone: 317-272-7519 Fax: 317-272-3661 | |
Antoinette A Mensah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8244 E Us Highway 36 Ste 120, Avon, IN 46123 Phone: 317-456-9053 Fax: 317-386-5480 |