| Jeremy J Wilber, MD | |
|
65 Airport Pkwy Ste 114, Greenwood, IN 46143-1439 | |
| (317) 807-0268 | |
| (317) 528-8115 |
| Full Name | Jeremy J Wilber |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 65 Airport Pkwy Ste 114, Greenwood, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346457934 | NPI | - | NPPES |
| 200916960 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01065140A (Indiana) | Primary |
| Entity Name | Cleanslate Medical Group Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy J Wilber, MD 65 Airport Pkwy Ste 114, Greenwood, IN 46143-1439 Ph: (317) 807-0268 | Jeremy J Wilber, MD 65 Airport Pkwy Ste 114, Greenwood, IN 46143-1439 Ph: (317) 807-0268 |
Johnnie Ayers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 996 S State Road 135, Greenwood, IN 46143 Phone: 317-893-3888 Fax: 317-893-3818 | |
Charles William Tolan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 | |
Dr. Stephanie Lynne Riley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4564 Driftwood Ln, Greenwood, IN 46143 Phone: 317-502-0884 | |
Dr. Martin D Bonney Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Smith Valley Rd Ste C1, Greenwood, IN 46142 Phone: 317-300-4091 | |
Dr. Stewart C Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 533 E County Line Rd Ste 101, Greenwood, IN 46143 Phone: 317-957-9050 | |
Gary Thompson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-888-3508 Fax: 317-888-5968 |