| Roy Abraham, MD | |
|
500 W Votaw St, Portland, IN 47371-1322 | |
| (260) 726-7131 | |
| Not Available |
| Full Name | Roy Abraham |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 500 W Votaw St, Portland, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912214560 | NPI | - | NPPES |
| 000001327193 | Other | IN | ANTHEM PTAN |
| 01072420A | Other | IN | LICENCE |
| 201178290 | Medicaid | IN | |
| 000001327195 | Other | IN | ANTHEM PTAN |
| 000001643117 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01072420A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01072420A (Indiana) | Primary |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| 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 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191025000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Abraham, MD 1300 S Jackson St, Frankfort, IN 46041-3313 Ph: (765) 656-3150 | Roy Abraham, MD 500 W Votaw St, Portland, IN 47371-1322 Ph: (260) 726-7131 |
Dori Ditty, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 822 S 500 W, Portland, IN 47371 Phone: 260-726-9027 | |
Lesley M Scholl, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 822 S 500 W, Portland, IN 47371 Phone: 260-726-9027 | |
Patsy S Detamore-brush, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 822 S 500 W, Portland, IN 47371 Phone: 260-726-9027 Fax: 260-726-9529 | |
Dr. Mark Allen Haggenjos, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 | |
Dr. Robert James Robinson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-6515 Fax: 260-726-2814 |