| Stephan M Zentner, MD | |
|
9795 E 116th St, Fishers, IN 46037-2822 | |
| (317) 913-8100 | |
| Not Available |
| Full Name | Stephan M Zentner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9795 E 116th St, Fishers, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114914058 | NPI | - | NPPES |
| 200306400 | Medicaid | IN | |
| 92638 | Other | GEISINGER HEALTH PLAN | |
| 000000316645 | Other | ANTHEM BLUECROSS/BLUESHIE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036195A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 291967 (Massachusetts) | Primary |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephan M Zentner, MD 9795 E 116th St, Fishers, IN 46037-2822 Ph: () - | Stephan M Zentner, MD 9795 E 116th St, Fishers, IN 46037-2822 Ph: (317) 913-8100 |
Darcy L Henson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13121 Olio Road, Suite 300, Fishers, IN 46037 Phone: 317-621-1300 Fax: 317-621-1310 | |
Mrs. Daniela Gueorguieva Djodjeva, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12574 Promise Creek Ln Ste 110, Fishers, IN 46038 Phone: 317-900-1206 Fax: 317-773-0844 | |
Kristen L. Blume, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10995 Allisonville Rd, Suite 100, Fishers, IN 46038 Phone: 317-842-7928 Fax: 317-841-3337 | |
Ramon Eduardo Santos Olivera, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-6060 | |
Robert Andrew Zukas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11846 Lakeside Dr, Fishers, IN 46038 Phone: 317-621-4830 Fax: 317-621-4831 | |
Todd R Fogelsong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13121 Olio Rd, Suite 300, Fishers, IN 46037 Phone: 317-621-1300 |