| Willis W Peelle, MD | |
|
2345 W Lincoln Rd, Kokomo, IN 46902-8012 | |
| (765) 455-4075 | |
| (765) 455-4094 |
| Full Name | Willis W Peelle |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 54 Years |
| Location | 2345 W Lincoln 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 |
|---|---|---|---|
| 1437146156 | NPI | - | NPPES |
| 000000085569 | Other | BC | |
| 200063040 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01024373 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Howard Regional Health Inc. | Kokomo, IN | Hospital |
| Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Of Indiana Llc | 7517870009 | 73 |
| Kokomo Urology Inc. | 8123145364 | 2 |
| Entity Name | Urology Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487680518 PECOS PAC ID: 7517870009 Enrollment ID: O20031111000154 |
| Entity Name | Kokomo Urology Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104026160 PECOS PAC ID: 8123145364 Enrollment ID: O20101124000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Willis W Peelle, MD 679 E County Line Rd, Greenwood, IN 46143-1049 Ph: (317) 859-7222 | Willis W Peelle, MD 2345 W Lincoln Rd, Kokomo, IN 46902-8012 Ph: (765) 455-4075 |
Dr. Stephen E Miller, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2312 S Dixon Rd Ste 240, Kokomo, IN 46902 Phone: 765-455-4075 Fax: 765-455-4094 | |
Richard T Senn I, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 113 W Southway Blvd, Kokomo, IN 46902 Phone: 765-453-4654 Fax: 765-455-2266 | |
James Michael Harshman, MD Urology Medicare: Medicare Enrolled Practice Location: 2345 W Lincoln Rd, Kokomo, IN 46902 Phone: 765-455-4075 Fax: 765-455-4094 |