| Dr Paul J Halter Iii, MD | |
|
300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | |
| (317) 467-4500 | |
| (317) 477-6321 |
| Full Name | Dr Paul J Halter Iii |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 300 E Boyd Ave Ste 250, Greenfield, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639161748 | NPI | - | NPPES |
| 000000341265 | Other | IN | ANTHEM PIN # |
| 200303630 | Medicaid | IN | |
| 200311740E | Other | MCD GRP# & LOCATION | |
| 7199596 | Other | IN | AETNA PIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01059547A (Indiana) | Primary |
| Entity Name | Hancock Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806470 PECOS PAC ID: 8325952633 Enrollment ID: O20040130000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul J Halter Iii, MD Po Box 129, Greenfield, IN 46140-0129 Ph: (317) 468-6270 | Dr Paul J Halter Iii, MD 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 Ph: (317) 467-4500 |
Dr. Lorraine Wean, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 E Boyd Ave Ste 250, Greenfield, IN 46140 Phone: 317-467-4500 Fax: 317-477-6321 | |
Kevin Downard, Pediatrics Medicare: Medicare Enrolled Practice Location: 1107 N State St, Greenfield, IN 46140 Phone: 844-695-7242 | |
Dr. Roger Roberts Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 E Boyd Ave Ste 250, Greenfield, IN 46140 Phone: 317-467-4500 Fax: 317-477-6321 |