Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mariellen Dentino, MD

Individual provider Nephrology Physician · NPI 1275533622

Dr. Mariellen Dentino, MD is a Nephrology in Evansville, Indiana. Graduated from Indiana University School of Medicine in 1973, 53 years ago. Practices with St Marys Medical Group LLC, a 228-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
53
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3801 Bellemeade Ave Ste 330
Evansville, IN 47714-0113
Phone: (812) 479-3125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 1024941 (IN)

Record details

NPI number1275533622
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Group practice St Marys Medical Group Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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