| Jian Li, MD | |
|
1949 Hospital Dr, Martinsville, IN 46151-1861 | |
| (765) 342-0539 | |
| (765) 342-3413 |
| Full Name | Jian Li |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1949 Hospital Dr, Martinsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215925201 | NPI | - | NPPES |
| 200391020 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01056719A (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Iu Health Morgan Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730424490 PECOS PAC ID: 2466699830 Enrollment ID: O20130503000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Jian Li, MD Po Box 1329, Bloomington, IN 47402-1329 Ph: () - | Jian Li, MD 1949 Hospital Dr, Martinsville, IN 46151-1861 Ph: (765) 342-0539 |
Justin Timothy Fuller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2209 John R Wooden Dr, Martinsville, IN 46151 Phone: 317-944-2819 | |
Amy E Simpson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1949 Hospital Dr, Martinsville, IN 46151 Phone: 765-342-0539 Fax: 765-342-3413 |