1115 N RONALD REAGAN PKWY SUITE 141
AVON, IN 46123 US PECOS Enrolled
Jeffrey R Ihlendorf
Internal Medicine Physician
- AVON, IN
- Phone: (317)-948-3200
- Last Updated 3/11/2021
Overview
Jeffrey R Ihlendorf is a Internal Medicine Physician in the AVON area and has over 21 years of experience. Jeffrey R Ihlendorf primary office location is at 1115 N RONALD REAGAN PKWY and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Cincinnati College Of Medicine and graduated 2003
Jeffrey R Ihlendorf is affiliated with three hospitals in the AVON area, including . The NPI number is 1205848728 and the information was updated approximately 3 years ago.
Jeffrey R Ihlendorf is affiliated with one medical group in the AVON area, UNIVERSITY FAMILY PHYSICIANS, INC..
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 01063183A | IN |
| Board Certifications |
|---|
| Internal Medicine |
| Pediatrics |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 200856940 | IN |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | IN | Y |
| Pediatrician - Taxonomy Code 208000000X | IN | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20070710000883 |
| PECOS Individual PAC ID: | 8921108614 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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