| Dr Thomas Pendergast, MD | |
|
1421 N 7th St, Terre Haute, IN 47807-1005 | |
| (812) 231-4608 | |
| (812) 231-4675 |
| Full Name | Dr Thomas Pendergast |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 1421 N 7th St, Terre Haute, 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 |
|---|---|---|---|
| 1407849094 | NPI | - | NPPES |
| 100466090 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01039492 (Indiana) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 01039492A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paris Community Hospital | Paris, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital And Medical Foundation Of Paris, Inc. | 7315933827 | 100 |
| Hospital And Medical Foundation Of Paris, Inc. | 7315933827 | 100 |
| Entity Name | Hospital & Medical Foundation Of Paris, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629280367 PECOS PAC ID: 7315933827 Enrollment ID: O20070917000115 |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Pendergast, MD Po Box 3036, Indianapolis, IN 46206-3036 Ph: (812) 231-4608 | Dr Thomas Pendergast, MD 1421 N 7th St, Terre Haute, IN 47807-1005 Ph: (812) 231-4608 |
Kenneth J. Crane, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 Fax: 812-238-4506 | |
Victor S Ferguson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Lisa C Ferguson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Dr. Brian Andrew Bark, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Jose F David Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Paul D West, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Marcus M Dick, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3903 S 7th St, Suite 1f, Terre Haute, IN 47802 Phone: 812-232-2032 Fax: 812-232-8252 |