| Thomas Martin Lee, MD | |
|
400 Pilgrim Blvd, Hartford City, IN 47348-1382 | |
| (765) 348-5776 | |
| (765) 348-3088 |
| Full Name | Thomas Martin Lee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 400 Pilgrim Blvd, Hartford City, 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 |
|---|---|---|---|
| 1487606083 | NPI | - | NPPES |
| P00049764 | Other | IN | RR MEDICARE |
| P00968556 | Other | IN | RR MEDICARE |
| 100059570 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01030229 (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01030229A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01030229A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Jay, Inc. | Portland, IN | Hospital |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Marion General Hospital | Marion, IN | Hospital |
| Bridgewater Rehabilitation Centre | Hartford city, IN | Nursing home |
| Miller's Merry Manor | Hartford city, IN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Blackford Hospital Inc | 2668381971 | 13 |
| Entity Name | Indiana University Health Blackford Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265021109 PECOS PAC ID: 2668381971 Enrollment ID: O20031105000567 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Martin Lee, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Thomas Martin Lee, MD 400 Pilgrim Blvd, Hartford City, IN 47348-1382 Ph: (765) 348-5776 |
Thomas D Stewart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 N Walnut St, Hartford City, IN 47348 Phone: 765-348-1100 Fax: 765-348-9717 | |
Dr. Roger L Frazier, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2008 No Walnut St, Hartford City, IN 47348 Phone: 765-348-0902 Fax: 765-348-7276 |