| Dr Michael Jay Scott Sheridan, MD | |
|
1116 N 16th St Ste A, Lafayette, IN 47904 | |
| (765) 448-8000 | |
| (765) 448-8807 |
| Full Name | Dr Michael Jay Scott Sheridan |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 40 Years |
| Location | 1116 N 16th St Ste A, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174519466 | NPI | - | NPPES |
| 78677 | Other | FL | BCBS OF FL |
| 841624482 | Other | FL | TRICARE |
| 000000851467 | Other | IN | ANTHEM PROVIDER NUMBER |
| 266749500 | Medicaid | FL | |
| 201023730 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoebe Physician Group Inc | 8426112350 | 439 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Savannah Multispecialty Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528571320 PECOS PAC ID: 3678836558 Enrollment ID: O20180609000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Jay Scott Sheridan, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Dr Michael Jay Scott Sheridan, MD 1116 N 16th St Ste A, Lafayette, IN 47904 Ph: (765) 448-8000 |
Dr. Hartmuth Bruno Bittner, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 | |
Dr. Thomas X Aufiero, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1176 N. 16th Street, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8085 | |
Dr. Kok H Lim, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 317-923-1787 Fax: 317-962-0853 | |
Kenneth Samuel Stone, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1116 N 16th St, Suite A, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8054 | |
Dr. Douglas Charles Wallace, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3900 St Francis Way, Ste 201, Lafayette, IN 47905 Phone: 765-446-7981 Fax: 765-446-7982 |