Martha Louise Uebelhoer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bloomington, Indiana. Her current practice location is
2920 Mcintyre Dr, Suite 150, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 333-7246.
Martha Louise Uebelhoer is licensed to practice in Indiana (license number 28105421A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003801218.
Provider's Profile
| Full Name | Martha Louise Uebelhoer |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2920 Mcintyre Dr, Bloomington, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003801218
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 7012001282
- Enrollment ID: I20071228000466
Medical Identifiers
Medical identifiers for Martha Louise Uebelhoer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003801218 | NPI | - | NPPES |
| 000000249973 | Other | IN | SIA ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 28105421A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Martha Louise Uebelhoer allows following entities to bill medicare on her behalf.
| Entity Name | Southeastern Indiana Anesthesia Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073531844 PECOS PAC ID: 7618919036 Enrollment ID: O20050525001250 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martha Louise Uebelhoer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Martha Louise Uebelhoer, CRNA Po Box 5635, Attn: Maria Mitchell, Bloomington, IN 47407-5635 Ph: (812) 337-5003 | Martha Louise Uebelhoer, CRNA 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 Ph: (812) 333-7246 |
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