| Glenn Lee Dobbs, DO | |
|
1205 Hadley Rd, Mooresville, IN 46158-1789 | |
| (317) 584-3454 | |
| (317) 584-3435 |
| Full Name | Glenn Lee Dobbs |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1205 Hadley Rd, Mooresville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083649909 | NPI | - | NPPES |
| 000000576533 | Other | IN | ANTHEM PROVIDER # |
| 200105500 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 02001767A (Indiana) | Primary |
| Entity Name | Obhg Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811232218 PECOS PAC ID: 7315185691 Enrollment ID: O20130528000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Lee Dobbs, DO 8051 S. Emerson Avenue, #400, Indianapolis, IN 46237-8633 Ph: (317) 865-3600 | Glenn Lee Dobbs, DO 1205 Hadley Rd, Mooresville, IN 46158-1789 Ph: (317) 584-3454 |
Dr. Virginia Ann Dangerfield Takagi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1205 Hadley Rd, Mooresville, IN 46158 Phone: 317-584-3454 Fax: 317-584-3435 | |
James Patrick Perry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Town Center Rd S, Suite B, Mooresville, IN 46158 Phone: 317-497-2300 Fax: 317-497-2502 | |
Michael Lenwood Boothe, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1205 Hadley Rd, Mooresville, IN 46158 Phone: 317-584-3454 Fax: 317-584-3435 | |
G. Alan Von Stein, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1205 Hadley Rd, Mooresville, IN 46158 Phone: 317-831-9469 Fax: 317-834-5928 | |
Jamie L Cooper, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1205 Hadley Rd, Mooresville, IN 46158 Phone: 317-584-3454 Fax: 317-584-3435 | |
Adrianne Nichele Banks, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1205 Hadley Rd Ste 120, Mooresville, IN 46158 Phone: 317-584-3454 Fax: 877-245-5768 |