| Dr Henry J Davis, MD | |
|
2723 S 7th St, Suite P, Terre Haute, IN 47802-3562 | |
| (812) 232-8594 | |
| (812) 232-5565 |
| Full Name | Dr Henry J Davis |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 37 Years |
| Location | 2723 S 7th St, Terre Haute, 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 |
|---|---|---|---|
| 1174597538 | NPI | - | NPPES |
| 200084240 | Medicaid | IN | |
| 660002905 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 01044622A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Union Hospital Inc | Terre haute, IN | Hospital |
| Greene County General Hospital | Linton, IN | Hospital |
| Union Hospital Clinton | Clinton, IN | Hospital |
| Sullivan County Community Hospital | Sullivan, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Group, Llc | 9335135995 | 25 |
| Entity Name | Providence Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891729141 PECOS PAC ID: 9335135995 Enrollment ID: O20040421000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henry J Davis, MD 2723 S 7th St, Suite A, Terre Haute, IN 47802-3558 Ph: (812) 238-1730 | Dr Henry J Davis, MD 2723 S 7th St, Suite P, Terre Haute, IN 47802-3562 Ph: (812) 232-8594 |
Diane Jordan-wagner, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 1429 N 6th St, Terre Haute, IN 47804 Phone: 812-232-0564 Fax: 812-235-3330 | |
Sean James Kennedy, DO Rheumatology Medicare: May Accept Medicare Assignments Practice Location: 1530 N 7th St Ste 200, Terre Haute, IN 47807 Phone: 812-238-7631 | |
Casey E Jacobs-campbell, FNP-BC Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1801 N 6th St, Terre Haute, IN 47804 Phone: 812-238-4708 | |
Imad George Koj, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3903 S 7th St, Ste 2e, Terre Haute, IN 47802 Phone: 812-235-7370 Fax: 812-235-7570 | |
Sudha Patel, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 6288 S Frye St, Terre Haute, IN 47802 Phone: 812-894-2130 | |
Dr. Dipen V Shah, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1332 N 7th St, Terre Haute, IN 47807 Phone: 812-478-8888 Fax: 812-478-1114 | |
Dr. Tony K. Nasser, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391 |