| Dr Padma P Ponugoti, MD | |
|
76 W Springhill Dr, Terre Haute, IN 47802-8767 | |
| (812) 299-2020 | |
| (819) 299-0519 |
| Full Name | Dr Padma P Ponugoti |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 28 Years |
| Location | 76 W Springhill Dr, Terre Haute, 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 |
|---|---|---|---|
| 1952419004 | NPI | - | NPPES |
| 200423530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 01049944 (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Eye Center Of Fort Wayne, Llc | 9739222910 | 4 |
| Entity Name | Whitson Vision Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568493005 PECOS PAC ID: 9931177029 Enrollment ID: O20040916001235 |
| Entity Name | The Eye Center Of Fort Wayne, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174858112 PECOS PAC ID: 9739222910 Enrollment ID: O20100210000565 |
| Entity Name | Diana L Fisher Od Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194421156 PECOS PAC ID: 9436513827 Enrollment ID: O20230919001835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Padma P Ponugoti, MD 76 W Springhill Dr, Terre Haute, IN 47802-8767 Ph: (812) 299-2020 | Dr Padma P Ponugoti, MD 76 W Springhill Dr, Terre Haute, IN 47802-8767 Ph: (812) 299-2020 |
Andrew S Farber, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 76 W Springhill Dr, Terre Haute, IN 47802 Phone: 812-299-2020 Fax: 812-299-0519 | |
Adrianne M Dela Paz, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 422 Poplar Street, Terre Haute, IN 47807 Phone: 812-242-3700 Fax: 812-234-3565 | |
Dr. Alexander Arad Izad, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4621 E Margaret Dr, Terre Haute, IN 47803 Phone: 812-281-2608 Fax: 812-281-2610 | |
Jeffrey A Jungers, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 422 Poplar St, Terre Haute, IN 47807 Phone: 812-242-3700 Fax: 812-234-3565 | |
Dr. Steven J Burns, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 422 Poplar St, Terre Haute, IN 47807 Phone: 812-238-4989 | |
Lance A Pickrell, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 422 Poplar St, Terre Haute, IN 47807 Phone: 812-242-3700 Fax: 812-234-3565 |