| David K Booth Ii, DO | |
|
3000 S State Road 135 Ste 330, Greenwood, IN 46143-9825 | |
| (317) 497-2400 | |
| (317) 497-2515 |
| Full Name | David K Booth Ii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 3000 S State Road 135 Ste 330, Greenwood, 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 |
|---|---|---|---|
| 1144250689 | NPI | - | NPPES |
| 1018551710001 | Medicaid | PA | |
| 201089740 | Medicaid | IN | |
| P01157043 | Other | IN | RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS012260 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 02004083A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anew Home Care | Lafayette, IN | Home health agency |
| Community Hospital South, Inc. | Indianapolis, IN | Hospital |
| Community Hospital East | Indianapolis, IN | Hospital |
| Johnson Memorial Hospital | Franklin, IN | Hospital |
| Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1386 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| David K Booth Ii, DO 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: () - | David K Booth Ii, DO 3000 S State Road 135 Ste 330, Greenwood, IN 46143-9825 Ph: (317) 497-2400 |
Dr. Elise Rose Laroche, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 317-888-9669 Fax: 317-885-7966 | |
Brittany Y. Simpson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 E County Line Rd, Greenwood, IN 46143 Phone: 317-957-9050 | |
Dr. Charles L Richert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 E Main St, Greenwood, IN 46143 Phone: 317-882-6663 Fax: 317-881-8993 | |
Dr. Douglas K Bullington, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 S State Road 135, Suite 200, Greenwood, IN 46143 Phone: 317-535-1876 Fax: 317-535-5049 | |
Patricia G Wiseman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 S State Road 135 Ste 200, Greenwood, IN 46143 Phone: 317-535-1876 Fax: 317-535-5049 | |
Philip A. Blaney, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1877 Prairie Sky Ln, Greenwood, IN 46143 Phone: 435-668-2481 | |
Shelley R Stiner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 N State Road 135, Ste 103, Greenwood, IN 46142 Phone: 317-550-4510 Fax: 317-886-4550 |