Individual
DR. THOMAS P MENGELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 S BURLINGTON DR, MUNCIE, IN 47302-2771
(765) 216-7620
(765) 216-7681
Mailing address
1720 S BURLINGTON DR, MUNCIE, IN 47302-2771
(765) 216-7620
(765) 216-7681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01024390A
IN
207Q00000X
Family Medicine Physician
01024390A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082491
BLUE CROSS BLUE SHIELD
—
01
—
000000623313
ANTHEM BC/BS
IN
01
—
000000668617
ANTHEM BC/BS
IN
01
—
080134890
RAILROAD MEDICARE
IN
05
—
100351920
—
IN
05
—
100351920A
—
IN
05
—
100351920B
—
IN
01
—
P00775305
RAILROAD MEDICARE
IN
01
—
P00841066
RAILROAD MEDICARE
IN
Enumeration date
07/20/2005
Last updated
10/11/2018
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