| Mackenzie Elizabeth Lupov, MD | |
|
601 W 2nd St, Bloomington, IN 47403-2317 | |
| (812) 676-4542 | |
| (812) 676-4106 |
| Full Name | Mackenzie Elizabeth Lupov |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 601 W 2nd St, Bloomington, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336371509 | NPI | - | NPPES |
| 201074650 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11014966A (Indiana) | Primary |
| 208M00000X | Hospitalist | 11014966A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southerncare Indianapolis | Bloomington, IN | Hospice |
| Gentiva I | Terre haute, IN | Hospice |
| Iu Health Bloomington Hospital | Bloomington, IN | Hospital |
| Stonecroft Health Campus | Bloomington, IN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4382 |
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 474 |
| Entity Name | University Family Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
| 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 Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Elizabeth Lupov, MD Po Box 1329, Bloomington, IN 47402-1329 Ph: Not Available | Mackenzie Elizabeth Lupov, MD 601 W 2nd St, Bloomington, IN 47403-2317 Ph: (812) 676-4542 |
Dr. Kevin Edward Zawacki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 |
Dr. Samuel W Kimani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3400 Fax: 812-332-7265 |
Shelby Renee Tipton, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4106 Fax: 812-676-4102 |
Ms. Louise Anne Owens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S Madison St, Bloomington, IN 47403 Phone: 812-334-3303 Fax: 812-334-0842 |
Eric A Bannec, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3255 Fax: 812-333-5978 |
Mohan Shenoy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 |
David Lee Blemker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3849 E Mabels Way, Bloomington, IN 47408 Phone: 812-361-8659 |