| Jennifer Kay Magnuson, MD | |
|
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
| (765) 448-8000 | |
| (317) 838-4751 |
| Full Name | Jennifer Kay Magnuson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 5165 Mccarty Ln, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508429648 | NPI | - | NPPES |
| 264430H90 | Other | IN | MEDICARE PTAN |
| 300080161 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R77317 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | 65773 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | 01089435A (Indiana) | Primary |
| Entity Name | Progressive Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331 |
| Entity Name | Sound Physicians Emergency Medicine Of Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700328663 PECOS PAC ID: 5799066650 Enrollment ID: O20170109000725 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kay Magnuson, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Jennifer Kay Magnuson, MD 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Andrew Anthony Alaimo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4683 | |
Lance Randell Seagren, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Samir H Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709 | |
Dr. Harsha V Musunuru, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 317-838-4751 | |
Christopher O Wood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Dr. Nirav L Chheda, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Steven F Lane, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 |