| Mell B Welborn Jr, MD | |
|
350 W Columbia St, Ste 350, Evansville, IN 47710-5610 | |
| (812) 450-7700 | |
| (812) 450-7705 |
| Full Name | Mell B Welborn Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 350 W Columbia St, Evansville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427116631 | NPI | - | NPPES |
| 100239950 | Medicaid | IN | |
| 64346430 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01023603 (Indiana) | Primary |
| Entity Name | Deaconess Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Mell B Welborn Jr, MD Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-7700 | Mell B Welborn Jr, MD 350 W Columbia St, Ste 350, Evansville, IN 47710-5610 Ph: (812) 450-7700 |
Dawn M Burgess, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2701 Lincoln Ave, Evansville, IN 47714 Phone: 812-476-4400 Fax: 812-476-0300 | |
Dr. Santi Vibul, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 520 Mary St, Suite 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8782 | |
Dr. Samir K. Gupta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Anthony David Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Brian W Schymik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Prasad V Gade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Katherine Mckenna Kottwitz, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 111 S Green River Rd Ste F, Evansville, IN 47715 Phone: 812-436-1203 |