| Isaac N Mitre, MD | |
|
1623 N 4th Street, Terre Haute, IN 47804 | |
| (812) 238-1652 | |
| (812) 238-2648 |
| Full Name | Isaac N Mitre |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1623 N 4th Street, Terre Haute, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093894057 | NPI | - | NPPES |
| 000000082864 | Other | BC BS | |
| 100250040A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01022272A (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 |
|---|---|
| Isaac N Mitre, MD 1623 N 4th Street, Terre Haute, IN 47804 Ph: (812) 238-1652 | Isaac N Mitre, MD 1623 N 4th Street, Terre Haute, IN 47804 Ph: (812) 238-1652 |
Charles Sides, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3115 |
Grant Harold Hammons Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-232-0564 Fax: 812-242-4518 |
Mary Pell Abernathy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3115 |
Robert C Lalouche, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3115 Fax: 812-235-9580 |
Dr. Ramon R Contreras, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3464 S 4th St, Terre Haute, IN 47802 Phone: 812-234-8117 Fax: 812-234-1894 |
Victoria L Potoczak, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5333 Knightsbridge Ct, Terre Haute, IN 47803 Phone: 812-878-4141 |
Dr. Magdy Waguih Abdel Nour, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1530 N 7th St, Ste 109, Terre Haute, IN 47807 Phone: 812-242-9631 Fax: 812-242-9647 |