John David Reisman, MD | |
2600 Greenbush St, Lafayette, IN 47904-2479 | |
(765) 448-8000 | |
(765) 448-7619 |
Full Name | John David Reisman |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 37 Years |
Location | 2600 Greenbush St, 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 |
---|---|---|---|
1295704427 | NPI | - | NPPES |
000000196959 | Other | IN | ANTHEM PROVIDER NUMBER |
10825818 | Other | IN | CAQH NUMBER |
100095530 | Medicaid | IN | |
9038973 | Other | IN | PHCS PID NUMBER |
RE17626034 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01040939A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
Indiana University Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arnett Clinic Llc | 0749184380 | 380 |
Entity Name | Arnett Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Mailing Address | Practice Location Address |
---|---|
John David Reisman, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | John David Reisman, MD 2600 Greenbush St, Lafayette, IN 47904-2479 Ph: (765) 448-8000 |
Dr. David Fumo Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 | |
Samuel Chan Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 | |
Chandra Kathryn Flack, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709 | |
Stephen D Beck, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 110a, Lafayette, IN 47905 Phone: 765-447-9308 Fax: 765-447-2387 | |
Daniel B Abbott, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Dr. Stanton Maurice Regan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 |