| Dr Luke Portwood Fife, MD | |
|
550 S Landmark Ave, Bloomington, IN 47403-3239 | |
| (812) 355-6900 | |
| (812) 355-6912 |
| Full Name | Dr Luke Portwood Fife |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 550 S Landmark Ave, Bloomington, 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 |
|---|---|---|---|
| 1053601682 | NPI | - | NPPES |
| 7100428850 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 48989 (Kentucky) | Secondary |
| 208600000X | Surgery | 01087459A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Health, Inc. | 4981508454 | 56 |
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
| Entity Name | Methodist Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luke Portwood Fife, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Luke Portwood Fife, MD 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 355-6900 |
Terrence M Greene, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 419 W 1st St, Bloomington, IN 47403 Phone: 812-336-7879 Fax: 812-336-7881 | |
Duangnapa S. Cuddy, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 | |
Dr. Jason Kasza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-2750 Fax: 812-355-2751 | |
Dr. Lindita N Coku, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-334-5081 Fax: 812-334-5091 | |
Mr. Charles R. Mckeen Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 W 1st St, Bloomington, IN 47403 Phone: 812-332-3531 Fax: 812-332-4673 | |
Dr. Raghunandan Lakshmana Motaganahalli, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-355-6900 Fax: 812-339-1292 |