| Charles Anthony Sisovsky, DPM | |
|
10455 Orthopaedic Dr, Newburgh, IN 47630-7955 | |
| (812) 424-9291 | |
| (812) 421-2722 |
| Full Name | Charles Anthony Sisovsky |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 10 Years |
| Location | 10455 Orthopaedic Dr, Newburgh, 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 |
|---|---|---|---|
| 1922459908 | NPI | - | NPPES |
| 300041082 | Medicaid | IN | |
| 000001611175 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00455 (Kentucky) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 07001347A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Associates Inc | 2163490285 | 24 |
| Orthopaedic Associates Inc | 2163490285 | 24 |
| Provider Name | American Health Network Of Indiana Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831236272 PECOS PAC ID: 9830093533 Enrollment ID: O20031124000691 |
| Provider Name | Orthopaedic Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477542165 PECOS PAC ID: 2163490285 Enrollment ID: O20040917000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Anthony Sisovsky, DPM 515 Read St, Evansville, IN 47710-1739 Ph: (812) 424-9291 | Charles Anthony Sisovsky, DPM 10455 Orthopaedic Dr, Newburgh, IN 47630-7955 Ph: (812) 424-9291 |
Anson Ka-cheng Chu, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10455 Orthopaedic Dr, Newburgh, IN 47630 Phone: 812-424-9291 Fax: 812-421-2722 | |
Darin Richard Serletic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7580 Peachwood Dr, Newburgh, IN 47630 Phone: 812-858-3800 Fax: 812-634-2778 | |
Tyler Tidwell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4233 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-5786 Fax: 812-490-4512 | |
Lorin Mickelsen Iv, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4233 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-5786 Fax: 812-490-4512 | |
Brandt L Dodson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4233 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-5786 Fax: 812-490-4512 |