| Minati D Swofford, | |
|
2101 Jackson St, Ste 118, Anderson, IN 46016-4386 | |
| (765) 683-3160 | |
| (765) 646-8367 |
| Full Name | Minati D Swofford |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 39 Years |
| Location | 2101 Jackson St, Anderson, 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 |
|---|---|---|---|
| 1346237476 | NPI | - | NPPES |
| 100475600 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01042478A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Anderson | Anderson, IN | Hospital |
| Community Hospital Of Anderson And Madison County | Anderson, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4320 |
| Mina Swofford, M.d. P.c | 8224935234 | 2 |
| Entity Name | Mina Swofford, M.d. P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326250499 PECOS PAC ID: 8224935234 Enrollment ID: O20031217000875 |
| Entity Name | University Dermatology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033159405 PECOS PAC ID: 0042204059 Enrollment ID: O20040413000478 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Minati D Swofford, 2101 Jackson St, Ste 118, Anderson, IN 46016-4386 Ph: (765) 683-3160 | Minati D Swofford, 2101 Jackson St, Ste 118, Anderson, IN 46016-4386 Ph: (765) 683-3160 |
Dr. David L Martin, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2101 Jackson St, Ste 201, Anderson, IN 46016 Phone: 765-649-0161 Fax: 765-644-4995 |