| Wentao Mi, MD, PHD | |
|
2451 Intelliplex Dr Ste 250, Shelbyville, IN 46176-8581 | |
| (317) 398-5267 | |
| (317) 401-2211 |
| Full Name | Wentao Mi |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 31 Years |
| Location | 2451 Intelliplex Dr Ste 250, Shelbyville, 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 |
|---|---|---|---|
| 1023677648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 01096384A (Indiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 01096384A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Major Hospital | Shelbyville, IN | Hospital |
| Santa Clara Valley Medical Center | San jose, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Major Multispecialty Associates | 6305997842 | 46 |
| County Of Santa Clara | 1254244973 | 1004 |
| Entity Name | Major Multispecialty Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437398492 PECOS PAC ID: 6305997842 Enrollment ID: O20090624000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Wentao Mi, MD, PHD 1010 Main St Fl 2, Buffalo, NY 14202-1102 Ph: (716) 829-5060 | Wentao Mi, MD, PHD 2451 Intelliplex Dr Ste 250, Shelbyville, IN 46176-8581 Ph: (317) 398-5267 |
Dr. Basil B Holoyda, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr, Shelbyville, IN 46176 Phone: 317-392-3211 | |
Caprice Gilpin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr, Shelbyville, IN 46176 Phone: 317-392-3211 | |
Dr. Ashli Brooke Elrod, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 250, Shelbyville, IN 46176 Phone: 317-398-5267 Fax: 317-401-2211 | |
Dr. Olivia Mary Cummings Mutambuze, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr Ste 250, Shelbyville, IN 46176 Phone: 317-398-5267 Fax: 317-401-2211 |