| Ethan L Ferguson, MD | |
|
1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 | |
| (317) 962-3700 | |
| (317) 962-2893 |
| Full Name | Ethan L Ferguson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 9 Years |
| Location | 1801 N Senate Blvd Suite 220, Indianapolis, 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 |
|---|---|---|---|
| 1043666191 | NPI | - | NPPES |
| 1102510313 | Other | IN | ANTHEM PTAN |
| 300078672 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35.142317 (Ohio) | Secondary |
| 208800000X | Urology | 01090971A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Indiana University Health North Hospital | Carmel, IN | Hospital |
| Eskenazi Health | Indianapolis, IN | Hospital |
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Urologists Inc Pc | 4284604208 | 35 |
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Entity Name | University Urologists Inc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104877141 PECOS PAC ID: 4284604208 Enrollment ID: O20040728000391 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan L Ferguson, MD 1801 N Senate Blvd Ste 220, Indianapolis, IN 46202-1260 Ph: (317) 962-3700 | Ethan L Ferguson, MD 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 Ph: (317) 962-3700 |
Hristos Kaimakliotis, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-948-6351 | |
Dr. Charles Randall Powell Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 535 Barnhill Dr., Indianapolis, IN 46202 Phone: 317-274-4622 Fax: 317-274-0174 | |
Kelly Clint Cary, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 888-484-3258 | |
James Andrew Dugan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8091 Township Line Rd, Ste 109, Indianapolis, IN 46260 Phone: 317-802-9900 Fax: 317-802-9911 | |
Adri Durant, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-948-2589 | |
Dr. Kevin Richard Rice, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 Phone: 317-962-3700 Fax: 317-962-2893 |