| John C Sorg, MD | |
|
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
| (812) 676-4102 | |
| Not Available |
| Full Name | John C Sorg |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821093063 | NPI | - | NPPES |
| 204482806 | Medicaid | MO | |
| 100113970A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01036183A (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Sorg, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 676-4715 | John C Sorg, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 676-4102 |
Dr. Kevin Edward Zawacki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 |
Dr. Samuel W Kimani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3400 Fax: 812-332-7265 |
Shelby Renee Tipton, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4106 Fax: 812-676-4102 |
Ms. Louise Anne Owens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S Madison St, Bloomington, IN 47403 Phone: 812-334-3303 Fax: 812-334-0842 |
Eric A Bannec, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3255 Fax: 812-333-5978 |
Mohan Shenoy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 |
David Lee Blemker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3849 E Mabels Way, Bloomington, IN 47408 Phone: 812-361-8659 |