| Dr Jerry R Powell Ii, MD | |
|
1400 E 9th St, Rochester, IN 46975 | |
| (574) 224-1048 | |
| (574) 224-1103 |
| Full Name | Dr Jerry R Powell Ii |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1400 E 9th St, Rochester, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619958378 | NPI | - | NPPES |
| 200001940A | Medicaid | IN | |
| 200231510 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01053633A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01053633 (Indiana) | Primary |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Woodlawn Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043 |
| Entity Name | Marion General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191025000956 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20240220002324 |
| Entity Name | Vitality Ageless Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730657271 PECOS PAC ID: 6800135872 Enrollment ID: O20250110002087 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry R Powell Ii, MD 1400 E 9th St, Rochester, IN 46975-8937 Ph: (574) 224-1048 | Dr Jerry R Powell Ii, MD 1400 E 9th St, Rochester, IN 46975 Ph: (574) 224-1048 |
Omazonna Amadi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E 9th St, Rochester, IN 46975 Phone: 574-223-2020 | |
Anthony J. Witt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1432 E 9th St, Rochester, IN 46975 Phone: 574-223-4337 | |
Mr. David M Folk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 E 9th St, Rochester, IN 46975 Phone: 574-223-2020 Fax: 574-223-5847 | |
Mr. Michael J Brubaker, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Main St, Rochester, IN 46975 Phone: 574-223-4337 Fax: 574-223-5847 | |
Mr. Kenneth Eugene Hoff, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 East 9th St., Rochester, IN 46975 Phone: 574-223-2020 Fax: 574-224-5847 | |
Dr. Joseph Peter Binfet, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E 9th St, Rochester, IN 46975 Phone: 574-223-2020 Fax: 574-223-5847 | |
Mr. Craig A Bugno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Main St, Rochester, IN 46975 Phone: 574-223-4337 Fax: 574-223-5847 |