| Mark D Crowley, MD | |
|
1000 N Broadway, Peru, IN 46970-1070 | |
| (765) 472-5335 | |
| Not Available |
| Full Name | Mark D Crowley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1000 N Broadway, Peru, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568442481 | NPI | - | NPPES |
| 100360420 | Medicaid | IN | |
| 000000210674 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01040877A (Indiana) | Primary |
| Entity Name | Meridian Health Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
| Entity Name | Woodlawn Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043 |
| Entity Name | Wabash Valley Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891044681 PECOS PAC ID: 4880848530 Enrollment ID: O20130204000433 |
| Entity Name | Nes Of Sandusky Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Crowley, MD 1101 Michigan Ave, Logansport, IN 46947-1528 Ph: (574) 753-1302 | Mark D Crowley, MD 1000 N Broadway, Peru, IN 46970-1070 Ph: (765) 472-5335 |
Jennifer Drancik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W 12th St, Peru, IN 46970 Phone: 765-472-8000 Fax: 260-479-2917 | |
Ann Virae Collie, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 N Broadway, Peru, IN 46970 Phone: 260-266-8840 Fax: 260-266-8849 | |
Dr. Steven Wehmeyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W 12th St, Peru, IN 46970 Phone: 765-472-8000 Fax: 260-479-2917 | |
Roderick J Sawyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 285 W 12th St, Suite 206, Peru, IN 46970 Phone: 765-475-8570 Fax: 765-640-8125 | |
Lynette Smith-caillouet, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 285 W 12th St Ste 106, Peru, IN 46970 Phone: 765-472-8041 Fax: 260-479-2926 |