| Brian W Buoscio, MD | |
|
2705 N Lebanon St Ste 315, Lebanon, IN 46052-8622 | |
| (765) 485-8855 | |
| (765) 485-8850 |
| Full Name | Brian W Buoscio |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2705 N Lebanon St Ste 315, Lebanon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912994534 | NPI | - | NPPES |
| 200079900 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01042808A (Indiana) | Primary |
| Entity Name | Witham Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian W Buoscio, MD 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () - | Brian W Buoscio, MD 2705 N Lebanon St Ste 315, Lebanon, IN 46052-8622 Ph: (765) 485-8855 |
Terry W Bushnell, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 S Lebanon St # B, Lebanon, IN 46052 Phone: 765-482-0656 | |
Dr. Valerie Susan Bruemmer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2705 N Lebanon St, Suite 315, Lebanon, IN 46052 Phone: 765-485-8855 Fax: 765-485-8850 | |
Rebeca L Maynard, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 N Lebanon St Ste 265, Lebanon, IN 46052 Phone: 765-485-8830 Fax: 765-485-8839 | |
Michael I Shapiro, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2705 N Lebanon St Ste 265, Lebanon, IN 46052 Phone: 765-485-8830 Fax: 765-485-8839 | |
Dr. Cody Lee Hedrick, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 N Lebanon St Ste 315, Lebanon, IN 46052 Phone: 765-485-8855 Fax: 765-485-8850 | |
Jeffrey David Mossler, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 Fax: 765-485-8239 | |
Crystal L Jones, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 N Lebanon St Ste 265, Lebanon, IN 46052 Phone: 765-485-8830 Fax: 765-485-8839 |