| Kent T Lancaster, MD | |
|
1411 S. Creasy Lane, Suite 130, Lafayette, IN 47905-7433 | |
| (765) 447-7447 | |
| (765) 807-0553 |
| Full Name | Kent T Lancaster |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 1411 S. Creasy Lane, 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 |
|---|---|---|---|
| 1528093937 | NPI | - | NPPES |
| 30001101191 | Other | MI | BCBS |
| 200933980 | Medicaid | IN | |
| 2927880 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301406274 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The South Bend Clinic Llc | 3779577937 | 160 |
| Entity Name | The South Bend Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent T Lancaster, MD Po Box 4699, Lafayette, IN 47903-4699 Ph: (765) 449-2732 | Kent T Lancaster, MD 1411 S. Creasy Lane, Suite 130, Lafayette, IN 47905-7433 Ph: (765) 447-7447 |
Katharine L Krol, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2403 Loy Dr, Lafayette, IN 47909 Phone: 765-448-8000 Fax: 765-446-4351 | |
Rodney A Dunseath, DO Radiology Medicare: Medicare Enrolled Practice Location: 2403 Loy Dr, Lafayette, IN 47909 Phone: 765-448-8000 Fax: 765-446-4351 | |
Mark Curtis Arvin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Matthew Orton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 420 N 26th St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7599 | |
Erika J Ugianskis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Bedatri Sinha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1425 Unity Pl, Lafayette, IN 47905 Phone: 765-447-7460 Fax: 765-447-8396 | |
Peter Simmons, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905 Phone: 765-447-7447 Fax: 765-447-1767 |