| Dr Marnie Jean Widdifield, MD | |
|
1542 S Bloomington St, Greencastle, IN 46135-2297 | |
| (765) 301-7617 | |
| (765) 301-7621 |
| Full Name | Dr Marnie Jean Widdifield |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1542 S Bloomington St, Greencastle, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790756443 | NPI | - | NPPES |
| 510512209 | Other | IN | PROHEALTH |
| 510512209 | Other | IN | OPEN |
| 000000001373 | Other | IN | MPLAN (PROHEALTH) |
| P00201816 | Other | IN | RR MEDICARE |
| 510512209 | Other | IN | COMMERCIAL INSURANCE |
| 000000336833 | Other | IN | BLUE CROSS / BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01051575A (Indiana) | Primary |
| Entity Name | Putnam County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578608188 PECOS PAC ID: 1951396605 Enrollment ID: O20040420000945 |
| Entity Name | Indiana Emergency Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598068017 PECOS PAC ID: 2365622578 Enrollment ID: O20110204000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marnie Jean Widdifield, MD 549 E County Line Rd, Suite A, Greenwood, IN 46143-1067 Ph: (317) 497-6180 | Dr Marnie Jean Widdifield, MD 1542 S Bloomington St, Greencastle, IN 46135-2297 Ph: (765) 301-7617 |
Ceciley Starkey Casselman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-301-7679 | |
Warren L Macy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Medic Way, Greencastle, IN 46135 Phone: 765-653-2626 | |
Steve A Kissel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1148 Indianapolis Rd, Greencastle, IN 46135 Phone: 765-653-4003 Fax: 765-653-8930 | |
Brian Edward Downen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Medic Way, Greencastle, IN 46135 Phone: 765-653-2626 | |
Brian Houston Black, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 Indianapolis Rd Ste 110, Greencastle, IN 46135 Phone: 765-653-8453 Fax: 765-653-8493 | |
Dr. Thomas Houston Black Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 Indianapolis Road, Greencastle, IN 46135 Phone: 765-653-8453 Fax: 765-653-8493 |