| Todd Nicholas Troxell, DO | |
|
1010 W 2nd St, Bloomington, IN 47403-2217 | |
| (812) 200-2458 | |
| (930) 200-8590 |
| Full Name | Todd Nicholas Troxell |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1010 W 2nd St, 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 |
|---|---|---|---|
| 1669993747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 02006986A (Indiana) | Primary |
| 207N00000X | Dermatology | 34.015247 (Ohio) | Secondary |
| Entity Name | Dermatology Center Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033199138 PECOS PAC ID: 0941386999 Enrollment ID: O20080401000053 |
| Entity Name | Optima Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831187764 PECOS PAC ID: 3971561648 Enrollment ID: O20230823002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Nicholas Troxell, DO 111 New Hampshire Ave Ste 2, Portsmouth, NH 03801-2864 Ph: (330) 947-6021 | Todd Nicholas Troxell, DO 1010 W 2nd St, Bloomington, IN 47403-2217 Ph: (812) 200-2458 |
Dr. Roxanne Rajaii, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Dr. Mary Kathleen Mctigue, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 Fax: 812-331-0196 | |
Michelle Gita Baechtold, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Talley Bhanyang Whang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 | |
Dr. Eran V Chen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 123-396-4348 Fax: 812-331-0196 | |
Molly Bridget Kitley, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1200 S Rogers St, Bloomington, IN 47403 Phone: 812-339-6434 |