| Dr Katherine L Cassidy, MD | |
|
1316 E 7th St, Auburn, IN 46706-2538 | |
| (260) 373-4000 | |
| (260) 482-4442 |
| Full Name | Dr Katherine L Cassidy |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1316 E 7th St, Auburn, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356336788 | NPI | - | NPPES |
| 000000214697 | Other | IN | ANTHEM |
| 2521284 | Medicaid | OH | |
| 104874614 | Medicaid | MI | |
| 930113729 | Other | RR MEDICARE | |
| 047840VVV | Other | MEDICARE WPS/CMS | |
| 000000010974 | Other | MPLAN | |
| 200364960 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01054605A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Community Hospital Of Lagrange County, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
| Entity Name | Parkview Wabash Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1245259878 PECOS PAC ID: 0244553360 Enrollment ID: O20141222002050 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katherine L Cassidy, MD 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 Ph: (260) 482-4440 | Dr Katherine L Cassidy, MD 1316 E 7th St, Auburn, IN 46706-2538 Ph: (260) 373-4000 |
Keith R Schreffler Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600 | |
Ajiru S Nyambwa, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600 Fax: 260-482-4442 | |
John D Wagel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600 | |
Tiffany Carolyn Alexander, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-925-4600 | |
Dr. Heather Michelle Clark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 260-373-4000 Fax: 260-482-4442 |