| Thomas M Reilly, MD | |
|
821 N Dixon Rd, Kokomo, IN 46901-1754 | |
| (765) 450-0111 | |
| (765) 553-5504 |
| Full Name | Thomas M Reilly |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 821 N Dixon Rd, Kokomo, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861597387 | NPI | - | NPPES |
| 000000224240 | Other | IN | UNICARE PROVIDER NUMBER |
| 000000020552 | Other | IN | M-PLAN PROVIDER NUMBER |
| 200186170 | Medicaid | IN | |
| P00108315 | Other | IN | MEDICARE RAILROAD |
| 000000224240 | Other | IN | ANTHEM PROVIDER NUMBER |
| 366735000 | Other | IN | US DEPT. OF LABOR |
| 5174577 | Other | IN | AETNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 01047334A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
| Community Howard Regional Health Inc. | Kokomo, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana Spine Group, Pc | 4082502349 | 46 |
| Entity Name | Indiana Spine Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609960046 PECOS PAC ID: 4082502349 Enrollment ID: O20040308001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Reilly, MD 13225 N Meridian St, Carmel, IN 46032-5480 Ph: (317) 228-7000 | Thomas M Reilly, MD 821 N Dixon Rd, Kokomo, IN 46901-1754 Ph: (765) 450-0111 |
Mohammad R Nekoomaram, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-865-6633 Fax: 765-865-6634 | |
Dr. Jason C Watters, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3510 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
Aaron Jon Legrand, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St Ste 200, Kokomo, IN 46901 Phone: 765-236-8170 | |
Dr. Courtney Allen Holland, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
Clifford J Evans, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
Cody Shafer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St # 200, Kokomo, IN 46901 Phone: 765-236-8170 |