| Dr Lucille E Kanjer-larson, MD | |
|
205 N Tillotson Ave, Muncie, IN 47304-3900 | |
| (765) 291-5437 | |
| (765) 284-5387 |
| Full Name | Dr Lucille E Kanjer-larson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 205 N Tillotson Ave, Muncie, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225010358 | NPI | - | NPPES |
| 3199738 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01092632A (Indiana) | Primary |
| 208000000X | Pediatrics | 161078 (Massachusetts) | Secondary |
| Entity Name | Community Health Connections, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477580827 PECOS PAC ID: 8729074992 Enrollment ID: O20040422001136 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucille E Kanjer-larson, MD 205 N Tillotson Ave, Muncie, IN 47304-3900 Ph: (765) 291-5437 | Dr Lucille E Kanjer-larson, MD 205 N Tillotson Ave, Muncie, IN 47304-3900 Ph: (765) 291-5437 |
Barbara P Huss, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Suite 201, Muncie, IN 47304 Phone: 765-289-2353 | |
Dr. Anne J Eliades, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2525 W University Ave, Suite 404, Muncie, IN 47303 Phone: 765-289-2616 Fax: 765-741-3934 | |
Craig A Hughes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Suite 201, Muncie, IN 47304 Phone: 765-289-2353 | |
James R Byrn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1995 Fax: 765-281-9114 | |
Gary A Palicka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1995 | |
Mr. Thomas E Kundenreich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3370 |