| Kishan B Patel, MD | |
|
909 Sagamore Pkwy W, West Lafayette, IN 47906-1443 | |
| (765) 463-6262 | |
| (765) 463-9122 |
| Full Name | Kishan B Patel |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 909 Sagamore Pkwy W, West 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 |
|---|---|---|---|
| 1265455836 | NPI | - | NPPES |
| 000000613586 | Other | IN | ANTHEM PROVIDER PIN / URGENT CARE |
| 200828050 | Medicaid | IN | |
| 000000485526 | Other | IN | ANTHEM PROVIDER PIN / FAMILY PRACTICE-HOSPITALIST |
| 9449511 | Other | IN | PHCS PID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01062245A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01062245A (Indiana) | Primary |
| 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 |
| Entity Name | University Family Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Kishan B Patel, MD Po Box 781076, Detroit, MI 48278-1008 Ph: (317) 528-4800 | Kishan B Patel, MD 909 Sagamore Pkwy W, West Lafayette, IN 47906-1443 Ph: (765) 463-6262 |
Gerald N Maesaka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 | |
Andrew Keith Edwards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 | |
Dr. Timothy B O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906 Phone: 765-204-1122 Fax: 765-205-8322 | |
Scott Carrington, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2424 Fax: 765-463-2249 | |
Leonia Scott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 N Grant St, West Lafayette, IN 47906 Phone: 317-201-4566 | |
Jerrod Edward Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6262 Fax: 765-463-9122 | |
Dr. Lori E Pekarek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 |