| Eric A Bannec, MD | |
|
550 S Landmark Ave, Bloomington, IN 47403-3239 | |
| (812) 355-3255 | |
| (812) 333-5978 |
| Full Name | Eric A Bannec |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 550 S Landmark Ave, Bloomington, 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 |
|---|---|---|---|
| 1093710881 | NPI | - | NPPES |
| 200023880 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01043608A (Indiana) | Primary |
| 208M00000X | Hospitalist | 01043608A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Tipton Hospital Inc | Tipton, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Family Physicians, Inc. | 7911992797 | 429 |
| Entity Name | University Family Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric A Bannec, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Eric A Bannec, MD 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 355-3255 |
Wai Pok Vernon Chan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4102 Fax: 812-676-4106 | |
Richard J Eisenhut, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 482 S Liberty Dr, Bloomington, IN 47403 Phone: 812-353-3443 | |
Dr. Kevin Edward Zawacki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 | |
Dr. Samuel W Kimani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3400 Fax: 812-332-7265 | |
Shelby Renee Tipton, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4106 Fax: 812-676-4102 | |
Ms. Louise Anne Owens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S Madison St, Bloomington, IN 47403 Phone: 812-334-3303 Fax: 812-334-0842 |