| Raphael Villavicencio, MD | |
|
1481 W 10th St, Medicine Service, 111, Indianapolis, IN 46202-2803 | |
| (317) 554-0000 | |
| Not Available |
| Full Name | Raphael Villavicencio |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1481 W 10th St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780643627 | NPI | - | NPPES |
| 200300450 | Medicaid | IN | |
| 9397565 | Other | IN | PHCS PID NUMBER |
| 000000351160 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01051969A (Indiana) | Primary |
| Entity Name | American Current Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013194455 PECOS PAC ID: 9739260019 Enrollment ID: O20080624000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Villavicencio, MD 1481 W 10th St, Medicine Service, 111, Indianapolis, IN 46202-2803 Ph: (317) 554-0000 | Raphael Villavicencio, MD 1481 W 10th St, Medicine Service, 111, Indianapolis, IN 46202-2803 Ph: (317) 554-0000 |
Brian T Robinson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-962-8776 |
Rafael Samuel Garcia-cortes, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8333 Naab Rd Ste 420, Indianapolis, IN 46260 Phone: 317-338-6666 |
John J. Anagnostou Jr., DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-3634 |
Andrew Meillier, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 N Ritter Ave, Indianapolis, IN 46219 Phone: 317-355-1411 |
Jasjit Kaur Mudhar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1402 E County Line Rd, Indianapolis, IN 46227 Phone: 317-887-7805 |
Dr. Marie Cecilia Lewis, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-3634 |
Kirby Douglas Slifer, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-962-5820 Fax: 317-962-3916 |