| Mary Oluwatoyin Ebueku-smith, MD | |
|
2001 W 86th St, Indianapolis, IN 46260-1902 | |
| (317) 338-6815 | |
| Not Available |
| Full Name | Mary Oluwatoyin Ebueku-smith |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 2001 W 86th St, Indianapolis, 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 |
|---|---|---|---|
| 1639514805 | NPI | - | NPPES |
| 300025385 | Medicaid | IN | |
| P02259015 | Other | IN | RR MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | Hospital |
| Berkshire Medical Center Inc - 1 | Pittsfield, MA | Hospital |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| North Adams Regional Hospital | North adams, MA | Hospital |
| Fairview Hospital | Great barrington, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maury Regional Medical Group, Inc | 7911810742 | 119 |
| Providence Health And Services - Washington | 2860552973 | 266 |
| Berkshire Medical Center Inc | 1355232711 | 195 |
| Entity Name | Maury Regional Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
| Entity Name | App of Tennessee HM, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Oluwatoyin Ebueku-smith, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: Not Available | Mary Oluwatoyin Ebueku-smith, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-6815 |
Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 |
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067 |
Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 |
Katherine Carlsen Anderson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202 Phone: 317-962-3525 |
Ivana Radovanovic, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 5550 S East St Ste C, Indianapolis, IN 46227 Phone: 317-534-4660 Fax: 317-782-4301 |
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646 |
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-678-3900 |