| Dr Timothy B O'donnell, MD | |
|
156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906-1569 | |
| (765) 204-1122 | |
| (765) 205-8322 |
| Full Name | Dr Timothy B O'donnell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 156 Sagamore Pkwy W Ste A, West 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 |
|---|---|---|---|
| 1144485764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11014237A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Entity Name | Coze Health Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356817894 PECOS PAC ID: 4880933514 Enrollment ID: O20190225001808 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy B O'donnell, MD 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906-1569 Ph: (765) 204-1122 | Dr Timothy B O'donnell, MD 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906-1569 Ph: (765) 204-1122 |
Gerald N Maesaka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 | |
Andrew Keith Edwards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 | |
Scott Carrington, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2424 Fax: 765-463-2249 | |
Leonia Scott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 N Grant St, West Lafayette, IN 47906 Phone: 317-201-4566 | |
Jerrod Edward Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6262 Fax: 765-463-9122 | |
Kishan B Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 |