| Physicians' Billing Of Mgh | |
|
717 E Main St Gas City IN 46933-1545 | |
| (765) 677-4719 | |
| (765) 677-4727 |
| Full Name | Physicians' Billing Of Mgh |
|---|---|
| Speciality | Family Medicine |
| Location | 717 E Main St, Gas City, Indiana |
| Authorized Official Name and Position | Paul L Usher (PRESIDENT/CEO) |
| Authorized Official Contact | 7656624776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians' Billing Of Mgh 1251 W Kem Rd Suite E Marion IN 46952-2555 Ph: (765) 662-4133 | Physicians' Billing Of Mgh 717 E Main St Gas City IN 46933-1545 Ph: (765) 677-4719 |
| NPI Number | 1770761975 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770761975 | NPI | - | NPPES |
| 100269250 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036109A (Indiana) | Primary |
Jon Kevin Blake Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 E Main St, Gas City, IN 46933 Phone: 765-674-7889 | |
Marion General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4781 Kaybee Dr, Gas City, IN 46933 Phone: 765-660-7840 Fax: 765-671-3509 |