| Michael Robert Dorwart, MD | |
|
8805 N Meridian St, Indianapolis, IN 46260-2760 | |
| (317) 706-7246 | |
| (317) 706-3417 |
| Full Name | Michael Robert Dorwart |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 19 Years |
| Location | 8805 N Meridian St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225243892 | NPI | - | NPPES |
| 201020000 | Medicaid | IN | |
| 000000715005 | Other | IN | ANTHEM |
| M400046439 | Other | IN | MEDICARE PTAN |
| 01064446A | Other | IN | STATE LICENSE NUMBER |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shadeland Anesthesia And Pain Associates Inc | 2769468990 | 39 |
| Entity Name | Shadeland Anesthesia & Pain Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477589000 PECOS PAC ID: 2769468990 Enrollment ID: O20040628000781 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Iu Anesthesiology Associates-chronic Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275629313 PECOS PAC ID: 2567567969 Enrollment ID: O20070413000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Robert Dorwart, MD 8805 N Meridian St, Indianapolis, IN 46260-2760 Ph: (317) 706-7246 | Michael Robert Dorwart, MD 8805 N Meridian St, Indianapolis, IN 46260-2760 Ph: (317) 706-7246 |
Mr. David M Ratzman, M.D. Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 8240 Naad Rd, Ste 101, Indianapolis, IN 46260 Phone: 317-417-1400 Fax: 317-471-1900 | |
Caroline Asava, NP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8805 N Meridian St Ste 200, Indianapolis, IN 46260 Phone: 317-706-7246 Fax: 317-706-3419 | |
Dr. Philip Michael Shumsky, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 West Michigan Street, Cl 626, Indianapolis, IN 46202 Phone: 317-278-2689 | |
Dr. John Joseph Fitzgerald, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 8805 N Meridian St, Indianapolis, IN 46260 Phone: 317-706-7246 Fax: 317-706-3417 | |
Dr. Daniel Diep Tran, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 8040 Clearvista Pkwy Ste 150, Indianapolis, IN 46256 Phone: 317-887-7000 | |
Brian T Paquette, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Pennsylvania Pkwy, Ste 200, Indianapolis, IN 46280 Phone: 317-805-5500 | |
Heidi Jeanene Padgett, NP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-0275 Fax: 317-274-0256 |