| Mark Stice, | |
| 
					1120 W Michigan St # Cl285, Indianapolis, IN 46202-5209  | |
| (317) 278-0042 | |
| Not Available | 
| Full Name | Mark Stice | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1120 W Michigan St # Cl285, Indianapolis, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962062406 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01089719A (Indiana) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Lakeview Memorial Hospital Association, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark Stice, 1120 W Michigan St # Cl285, Indianapolis, IN 46202-5209 Ph: () -  | Mark Stice, 1120 W Michigan St # Cl285, Indianapolis, IN 46202-5209 Ph: (317) 278-0042  | 
Dr. Gina Marie Diantonio Swartzel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, B401, Indianapolis, IN 46202 Phone: 317-962-5975  | |
Randall M. Todd, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-5261 Fax: 317-528-5026  | |
Gregory Bauwens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-802-3140  | |
Dr. Jennifer Rae Barker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 Barnhill Dr, Riley Hospital, Indianapolis, IN 46202 Phone: 317-274-4034  | |
Heather Amos, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-0000  | |
Gerald William Godfrey, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 131-752-8814  | |
Dr. Kenneth Byerly, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Guion Rd, Indianapolis, IN 46222 Phone: 317-920-7195 Fax: 317-920-7551  |