| Lisa Helene Smith, MD | |
|
813 W 2nd St, Bloomington, IN 47403-2212 | |
| (812) 353-3470 | |
| Not Available |
| Full Name | Lisa Helene Smith |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 32 Years |
| Location | 813 W 2nd St, Bloomington, 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 |
|---|---|---|---|
| 1043293236 | NPI | - | NPPES |
| 000000628410 | Other | IN | ANTHEM PTAN |
| 1102246535 | Other | IN | ANTHEM PTAN |
| 200889720 | Medicaid | IN | |
| 262210G | Other | IN | MEDICARE PTAN |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Entity Name | Indiana Clinic-neurology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578792271 PECOS PAC ID: 3678626140 Enrollment ID: O20090730000467 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Helene Smith, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Lisa Helene Smith, MD 813 W 2nd St, Bloomington, IN 47403-2212 Ph: (812) 353-3470 |
Jonathan Wicks, ATC, LAT, M.ED Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 17th St, Bloomington, IN 47408 Phone: 812-855-7920 | |
Dr. James G Marencik, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109 | |
Dr. David Austin Duncan, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5630 Fax: 812-353-5441 | |
Alvin Perry Griffith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-5603 Fax: 812-353-3451 | |
Marina Bota, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
Abdulrahim Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5222 Fax: 812-353-5262 |