| Molly Bridget Kitley, MD | |
|
1200 S Rogers St, Bloomington, IN 47403-4792 | |
| (812) 339-6434 | |
| Not Available |
| Full Name | Molly Bridget Kitley |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 1200 S Rogers St, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720578131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | NA (Indiana) | Primary |
| Entity Name | Dermatology Center Of Southern Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659451755 PECOS PAC ID: 9537190095 Enrollment ID: O20050824000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Bridget Kitley, MD 1200 S Rogers St, Bloomington, IN 47403-4792 Ph: (812) 339-6434 | Molly Bridget Kitley, MD 1200 S Rogers St, Bloomington, IN 47403-4792 Ph: (812) 339-6434 |
Dr. Roxanne Rajaii, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Dr. Mary Kathleen Mctigue, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 Fax: 812-331-0196 | |
Michelle Gita Baechtold, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Todd Nicholas Troxell, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1010 W 2nd St, Bloomington, IN 47403 Phone: 812-200-2458 Fax: 930-200-8590 | |
Talley Bhanyang Whang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Dr. Eran V Chen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 123-396-4348 Fax: 812-331-0196 |