| Elizabeth Ellen Hathaway, MD | |
|
1241 Cumberland Ave Ste C, West Lafayette, IN 47906-1304 | |
| (317) 207-9833 | |
| Not Available |
| Full Name | Elizabeth Ellen Hathaway |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 10 Years |
| Location | 1241 Cumberland Ave Ste C, West Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902331846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01085661A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Crawfordsville | Crawfordsville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ellen Hathaway, MD 1241 Cumberland Ave Ste C, West Lafayette, IN 47906-1304 Ph: () - | Elizabeth Ellen Hathaway, MD 1241 Cumberland Ave Ste C, West Lafayette, IN 47906-1304 Ph: (317) 207-9833 |
Diane Crowley Reis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1241 Cumberland Ave Ste C, West Lafayette, IN 47906 Phone: 765-380-8447 Fax: 765-356-9684 | |
Dr. Julianna Downing Troy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-6995 | |
Ayodeji Ogunleye, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2900 N River Rd Ste O, West Lafayette, IN 47906 Phone: 765-288-1928 |