| Jonathon R Roullard, CAA | |
|
11700 N Meridian St, Carmel, IN 46032-4656 | |
| (317) 577-4200 | |
| Not Available |
| Full Name | Jonathon R Roullard |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 11700 N Meridian St, Carmel, 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 |
|---|---|---|---|
| 1124556261 | NPI | - | NPPES |
| 23865827 | Other | NCCAA | |
| 1101755112 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000146A (Indiana) | Primary |
| 367H00000X | Anesthesiologist Assistant | 23865827 (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon R Roullard, CAA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Jonathon R Roullard, CAA 11700 N Meridian St, Carmel, IN 46032-4656 Ph: (317) 577-4200 |
Solomon I Berkowitz, CAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 151 Pennsylvania Pkwy, Carmel, IN 46280 Phone: 317-577-4200 Fax: 317-577-4200 | |
Margaret Hajje, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 151 Pennsylvania Pkwy, Carmel, IN 46280 Phone: 317-577-4200 Fax: 317-577-4200 | |
Brandon Matthew Haynes, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10300 N Illinois St, Carmel, IN 46290 Phone: 317-817-8080 | |
Michael E Ferrante, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-577-4200 |