Jeffrey Alan Dedelow, MD - Medicare in Bloomington, IN

Jeffrey Alan Dedelow, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bloomington, Indiana. His current practice location is 514 W 2nd St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 353-3719.

Jeffrey Alan Dedelow is licensed to practice in Indiana (license number 01069197A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376758524.

Contact Information

Jeffrey Alan Dedelow, MD
514 W 2nd St,
Bloomington, IN 47403-2316
(812) 353-3719
Not Available



Physician's Profile

Full NameJeffrey Alan Dedelow
GenderMale
Speciality
Experience Years
Location514 W 2nd St, Bloomington, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey Alan Dedelow attended and graduated from in
  NPI Data:
  • NPI Number: 1376758524
  • Provider Enumeration Date: 05/11/2007
  • Last Update Date: 12/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Jeffrey Alan Dedelow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376758524NPI-NPPES
1049913MedicaidLA
04377066MedicaidMS
201015030MedicaidIN
P01119545OtherINRAILROAD MEDICARE
5186380MedicaidMI
0090190MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0002XInternal Medicine - Hospice And Palliative Medicine 01069197A (Indiana)Secondary
2085N0904XRadiology - Nuclear Radiology 4301089258 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology MD026741 (Louisiana)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301089258 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 35.122017 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology 01069197A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Alan Dedelow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeffrey Alan Dedelow, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Jeffrey Alan Dedelow, MD
514 W 2nd St,
Bloomington, IN 47403-2316

Ph: (812) 353-3719

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Radiology Doctors in Bloomington, IN

Dr. Jonathan Andrew Staser, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 429 S Landmark Avenue, Bloomington, IN 47403
Phone: 812-332-8242    Fax: 812-333-7684
Dr. Douglas Geiger, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 429 S Landmark Ave, Bloomington, IN 47403
Phone: 812-332-8242    Fax: 812-333-7684
Dr. Bharati Kharkar, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2620 Cota Dr, Bloomington, IN 47403
Phone: 812-332-8242    Fax: 812-333-7684
Donald C Buehner,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 500 S. Landmark Ave, Bloomington, IN 47402
Phone: 812-332-8242    Fax: 812-333-7684
Dr. Philip Doering, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 429 S Landmark Ave, Bloomington, IN 47403
Phone: 812-332-8242    Fax: 812-333-7684
Dr. David Yoon Lee, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2620 Cota Dr, Bloomington, IN 47403
Phone: 812-353-2800    Fax: 812-335-9569
Nicholas P Miller, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 429 S Landmark Ave, Bloomington, IN 47403
Phone: 812-332-8242    Fax: 812-333-7684

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