| Internal Medicine Of South East Indiana | |
|
1088 State Road 229 Batesville IN 47006-6810 | |
| (812) 933-1858 | |
| (812) 933-1968 |
| Full Name | Internal Medicine Of South East Indiana |
|---|---|
| Speciality | Internal Medicine |
| Location | 1088 State Road 229, Batesville, Indiana |
| Authorized Official Name and Position | Mike Robertson (PRACTICE MANAGER) |
| Authorized Official Contact | 8129331858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of South East Indiana 1088 State Road 229 Batesville IN 47006-6810 Ph: (812) 933-1858 | Internal Medicine Of South East Indiana 1088 State Road 229 Batesville IN 47006-6810 Ph: (812) 933-1858 |
| NPI Number | 1518085661 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 06/29/2015 |
| Medicare PECOS PAC ID | 2961509112 |
|---|---|
| Medicare Enrollment ID | O20070522000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518085661 | NPI | - | NPPES |
| 1518085661 | Medicaid | IN | |
| 200245400B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01052054A (Indiana) | Primary |
| Provider Name | Mary S Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497775811 PECOS PAC ID: 1951408103 Enrollment ID: I20070523000422 |
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