| Richard K Malone, MD | |
|
651 S Clarizz Blvd, Bloomington, IN 47401-5523 | |
| (812) 333-2304 | |
| (812) 330-2306 |
| Full Name | Richard K Malone |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 651 S Clarizz Blvd, 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 |
|---|---|---|---|
| 1881691814 | NPI | - | NPPES |
| 100068670 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01036275 (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| 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 |
|---|---|
| Richard K Malone, MD 651 S Clarizz Blvd, Bloomington, IN 47401-5523 Ph: (812) 333-2304 | Richard K Malone, MD 651 S Clarizz Blvd, Bloomington, IN 47401-5523 Ph: (812) 333-2304 |
Lisa Helene Smith, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 813 W 2nd St, Bloomington, IN 47403 Phone: 812-353-3470 |
Dionne Cozier Ross, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4935 W Arlington Rd, Bloomington, IN 47404 Phone: 812-353-3800 Fax: 812-353-3770 |
Audra Janice Kunzman-mazdzer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 |
Dr. John Stephen Schechter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 719 W 1st St, Bloomington, IN 47403 Phone: 812-339-6151 Fax: 812-339-8884 |
Jennifer Noel Lennington, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2435 Fax: 812-330-2306 |
Minxin Fu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 651 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2304 Fax: 812-330-2306 |
Dr. Sandra C. Castro, MD, FAAP, CHCQM Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 |