| Dr Sandra C Castro, MD, FAAP, CHCQM | |
|
350 S Landmark Ave, Bloomington, IN 47403-5001 | |
| (812) 335-2434 | |
| (812) 335-7604 |
| Full Name | Dr Sandra C Castro |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 350 S Landmark Ave, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235165317 | NPI | - | NPPES |
| 07762 | Other | FL | BLUE SHIELD |
| 049285000 | Medicaid | FL | |
| 1235165317 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01078458A (Indiana) | Primary |
| Entity Name | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandra C Castro, MD, FAAP, CHCQM 350 S Landmark Ave, Bloomington, IN 47403-5001 Ph: (812) 335-2434 | Dr Sandra C Castro, MD, FAAP, CHCQM 350 S Landmark Ave, Bloomington, IN 47403-5001 Ph: (812) 335-2434 |
Dionne Cozier Ross, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4935 W Arlington Rd, Bloomington, IN 47404 Phone: 812-353-3800 Fax: 812-353-3770 | |
Audra Janice Kunzman-mazdzer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 | |
Dr. John Stephen Schechter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 719 W 1st St, Bloomington, IN 47403 Phone: 812-339-6151 Fax: 812-339-8884 | |
Jennifer Noel Lennington, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2435 Fax: 812-330-2306 | |
Minxin Fu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 651 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2304 Fax: 812-330-2306 | |
Dr. Michael W Balbus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9852 Fax: 812-353-9278 |