| Courtney R Canos, MD | |
| 132 Industrial Drive, Lawrenceburg, IN 47025 | |
| (812) 537-5759 | |
| (812) 537-9974 | 
| Full Name | Courtney R Canos | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 132 Industrial Drive, Lawrenceburg, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679541858 | NPI | - | NPPES | 
| 200459830 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 01057671A (Indiana) | Primary | 
| Entity Name | Duke University Affiliated Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Courtney R Canos, MD Po Box 4125, Lawrenceburg, IN 47025 Ph: (812) 537-5759 | Courtney R Canos, MD 132 Industrial Drive, Lawrenceburg, IN 47025 Ph: (812) 537-5759 | 
| Veronica Reyes Jensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2018 Jamison Dr, Lawrenceburg, IN 47025 Phone: 812-496-8772 Fax: 812-656-8084 | |
| Leslie H Glick, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 606 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 812-496-8780 Fax: 812-537-5826 | |
| Carey Compton Bertsch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 98 Elm St, Lawrenceburg, IN 47025 Phone: 812-496-8777 Fax: 812-537-9974 | |
| Dr. Amy Michelle Clark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 98 Elm St, Lawrenceburg, IN 47025 Phone: 812-496-8777 Fax: 812-537-9974 |