| Dr Daniel J Livera, MD | |
|
428 W Votaw St, Portland, IN 47371-1302 | |
| (260) 726-8822 | |
| Not Available |
| Full Name | Dr Daniel J Livera |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 428 W Votaw St, Portland, 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 |
|---|---|---|---|
| 1043838543 | NPI | - | NPPES |
| M12240475 | Other | IN | MEDICARE PTAN |
| 300040515 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01089292A (Indiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Jay, Inc. | Portland, IN | Hospital |
| 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 |
|---|---|
| Dr Daniel J Livera, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Daniel J Livera, MD 428 W Votaw St, Portland, IN 47371-1302 Ph: (260) 726-8822 |
J Frank Vormohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-7616 Fax: 260-726-8165 | |
David M Brown, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 | |
Stephanie C Sharpe, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-9027 Fax: 260-726-9529 | |
Dr. Som Dutt Tyagi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 | |
Leonard J Green, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 | |
Dr. David C Dunnington, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-6515 Fax: 260-726-6535 |