| Jacob O Rust, MD | |
|
535 Barnhill Dr Ste 340, Indianapolis, IN 46202-5116 | |
| (317) 688-5500 | |
| Not Available |
| Full Name | Jacob O Rust |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 7 Years |
| Location | 535 Barnhill Dr Ste 340, 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 |
|---|---|---|---|
| 1487117842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | R77341 (Arizona) | Secondary |
| 208800000X | Urology | 01094023A (Indiana) | Secondary |
| 208800000X | Urology | 4301515401 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Henry Ford Health Warren Hospital | Warren, MI | Hospital |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Healthcare Professionals Pc | 0345413258 | 525 |
| Entity Name | Michigan Healthcare Professionals PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob O Rust, MD 1116 Prospect Ln, Orefield, PA 18069-9068 Ph: Not Available | Jacob O Rust, MD 535 Barnhill Dr Ste 340, Indianapolis, IN 46202-5116 Ph: (317) 688-5500 |
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 |
Ethan L Ferguson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 Phone: 317-962-3700 Fax: 317-962-2893 |
Kelly Clint Cary, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 888-484-3258 |
John Ethan Brinkman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 535 Barnhill Dr Ste 150, Indianapolis, IN 46202 Phone: 877-717-0754 |
Shree Agrawal-patel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Ste 220, Indianapolis, IN 46202 Phone: 317-962-3700 |
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 |