| Ignacio Sarmina, MD | |
|
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
| (765) 448-8000 | |
| (765) 448-7619 |
| Full Name | Ignacio Sarmina |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 5165 Mccarty Ln, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861435554 | NPI | - | NPPES |
| 300083383 | Medicaid | IN | |
| 1102431989 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 32567 (North Carolina) | Secondary |
| 208800000X | Urology | 35049990 (Ohio) | Secondary |
| 208800000X | Urology | 01072504A (Indiana) | Primary |
| Entity Name | Dlp Central Carolina Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184163883 PECOS PAC ID: 3577840420 Enrollment ID: O20170503000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Ignacio Sarmina, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: Not Available | Ignacio Sarmina, MD 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Nicholas Nasry Tadros, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3920 St Francis Way Ste 105, Lafayette, IN 47905 Phone: 765-428-1660 Fax: 765-428-1627 |
Samuel Chan Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 |
Timothy James Redden, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |
John David Reisman, MD Urology Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619 |
Dr. Shaheen R Alanee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |
Daniel B Abbott, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |
Michael K Louie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |