| Mr Richard T Cardosi, MD | |
|
600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | |
| (812) 532-2700 | |
| (812) 537-1507 |
| Full Name | Mr Richard T Cardosi |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 600 Wilson Creek Rd, Lawrenceburg, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962519793 | NPI | - | NPPES |
| 64254204 | Medicaid | KY | |
| 00188327 | Medicaid | OH | |
| 080101086 | Other | IN | MEDICARE RAILROAD |
| 000000111516 | Other | ANTHEM | |
| 200017380A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01035414A (Indiana) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 01035414A (Indiana) | Primary |
| Entity Name | Dearborn County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326142498 PECOS PAC ID: 7618932484 Enrollment ID: O20041122000610 |
| Entity Name | Indiana Emergency Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598068017 PECOS PAC ID: 2365622578 Enrollment ID: O20110204000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard T Cardosi, MD 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 Ph: (812) 532-2700 | Mr Richard T Cardosi, MD 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 Ph: (812) 532-2700 |
Richard Frederick Zegarra Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 812-532-2700 Fax: 812-537-1507 | |
Steven K Gunderson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 812-532-2700 Fax: 812-537-1507 | |
Chayse Brockman Martin, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 812-532-2700 |