| Jennifer Phan, MD | |
|
3113 N Broadway Street, Anderson, IN 46012-1261 | |
| (765) 298-4660 | |
| Not Available |
| Full Name | Jennifer Phan |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 16 Years |
| Location | 3113 N Broadway Street, Anderson, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861621880 | NPI | - | NPPES |
| P01723972 | Other | IN | RR MEDICARE |
| 201110020 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 11014885A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Howard Regional Health Inc. | Kokomo, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1386 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Phan, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | Jennifer Phan, MD 3113 N Broadway Street, Anderson, IN 46012-1261 Ph: (765) 298-4660 |
Dr. Fernando Javier Morell Diaz, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 | |
James Milligan, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 Fax: 765-642-0408 | |
Scott C Swim, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 | |
Joshua B Greene, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 | |
Ronald J Blevins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 | |
Peter Nielsen Schilt, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 115, Anderson, IN 46016 Phone: 765-643-6961 |