| Mark T Viehmann, MD | |
|
1373 E State Road 62, Madison, IN 47250-7328 | |
| (812) 801-0800 | |
| Not Available |
| Full Name | Mark T Viehmann |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1373 E State Road 62, Madison, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134140940 | NPI | - | NPPES |
| 200466720 | Medicaid | IN | |
| 710070800 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01036844A (Indiana) | Primary |
| Entity Name | Norton - Kings Daughters Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
| Entity Name | Community Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386695930 PECOS PAC ID: 5991754145 Enrollment ID: O20050114000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Viehmann, MD 2001 N Granville Ave, Muncie, IN 47303-2110 Ph: (765) 284-0493 | Mark T Viehmann, MD 1373 E State Road 62, Madison, IN 47250-7328 Ph: (812) 801-0800 |
Willem J Kruger, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0156 Fax: 812-801-0276 | |
Gene Shilkrot, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0609 Fax: 812-801-0276 | |
Magdy W Khalil, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0156 Fax: 812-801-0276 | |
John Morgan Brumfield, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0609 Fax: 812-801-0276 |