| Batesville Medical Specialties Llc | |
|
1051 St Rd 229 Batesville IN 47006 | |
| (812) 934-5924 | |
| (812) 934-6436 |
| Full Name | Batesville Medical Specialties Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1051 St Rd 229, Batesville, Indiana |
| Authorized Official Name and Position | John Bisbee Johnson (MD) |
| Authorized Official Contact | 8129345924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Batesville Medical Specialties Llc 1051 St Rd 229 Batesville IN 47006 Ph: (812) 934-5924 | Batesville Medical Specialties Llc 1051 St Rd 229 Batesville IN 47006 Ph: (812) 934-5924 |
| NPI Number | 1295937746 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 09/21/2010 |
| Medicare PECOS PAC ID | 6608836796 |
|---|---|
| Medicare Enrollment ID | O20041013000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295937746 | NPI | - | NPPES |
| 200492740A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01049451A (Indiana) | Primary |
| Provider Name | John Bisbee Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790709103 PECOS PAC ID: 5698735785 Enrollment ID: I20041016000185 |
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