| Dr Troy D Clouse, MD | |
|
600 East Blvd, Emergency Department, Elkhart, IN 46514-2483 | |
| (574) 523-3161 | |
| (574) 523-3221 |
| Full Name | Dr Troy D Clouse |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 600 East Blvd, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750373833 | NPI | - | NPPES |
| 104311635 | Medicaid | MI | |
| 930106366 | Other | IN | RAIL ROAD MEDICARE |
| 000000196952 | Other | IN | ANTHEM |
| 200332130 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01053909 (Indiana) | Primary |
| Entity Name | App Of Indiana Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Troy D Clouse, MD 600 East Blvd, Emergency Department, Elkhart, IN 46514-2483 Ph: (574) 523-3161 | Dr Troy D Clouse, MD 600 East Blvd, Emergency Department, Elkhart, IN 46514-2483 Ph: (574) 523-3161 |
Nicole S Brunette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-273-1137 | |
Matthew Terrence Michalski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3160 | |
Dr. Jenna Renee Nofziger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 | |
Dr. Scott E Ludwig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-271-2558 | |
Randall J Cammenga, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161 Fax: 574-523-3221 | |
David Erazo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3161 | |
Ms. Halsey Anne Heinselman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Emergency Department, Elkhart, IN 46514 Phone: 574-523-3161 |