| John H Ditslear, MD | |
|
4922 E 161st St, Noblesville, IN 46062-9239 | |
| (317) 818-8981 | |
| Not Available |
| Full Name | John H Ditslear |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4922 E 161st St, Noblesville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811933864 | NPI | - | NPPES |
| P00169887 | Other | IN | RR MEDICARE CLARIAN |
| 200219370 | Medicaid | IN | |
| 020043808 | Other | IN | RR MEDICARE TS |
| 000000821044 | Other | IN | ANTHEM |
| P01275421 | Other | IN | MEDICARE RR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01045848A (Indiana) | Primary |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| John H Ditslear, MD 4922 E 161st St, Noblesville, IN 46062-9239 Ph: () - | John H Ditslear, MD 4922 E 161st St, Noblesville, IN 46062-9239 Ph: (317) 818-8981 |
Dr. Chris A Lowery, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9660 E 146th St Ste 100, Noblesville, IN 46060 Phone: 317-773-6677 Fax: 317-773-3322 | |
Keith E Mcewen Jr., MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 9669 E 146th St Ste 340, Noblesville, IN 46060 Phone: 317-621-2500 | |
John Rhodes Martin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Westfield Rd Ste 120, Noblesville, IN 46060 Phone: 317-776-8748 Fax: 317-773-0314 | |
Dr. Joseph John Castellano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 14295 Mourning Dove Ln, Apt 107, Noblesville, IN 46060 Phone: 813-789-5673 | |
Dr. Samuel Rodney Heiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Westfield Rd, Ste 120, Noblesville, IN 46060 Phone: 317-776-8748 Fax: 317-773-0314 | |
Satyanarayana Sai Nelanuthala, Surgery Medicare: Not Enrolled in Medicare Practice Location: 21220 Cunion Ct, Noblesville, IN 46062 Phone: 304-203-3412 |