| Michael Joseph Shugar, MD | |
|
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
| (765) 448-8000 | |
| (317) 838-4751 |
| Full Name | Michael Joseph Shugar |
|---|---|
| Gender | Male |
| 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 |
|---|---|---|---|
| 1861497463 | NPI | - | NPPES |
| 2068935 | Medicaid | OH | |
| 264430F05 | Other | IN | MEDICARE |
| 200219280 | Medicaid | IN | |
| 6496214500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01057154A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 35072084 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 16777 (Nevada) | Primary |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Entity Name | Mercy Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Joseph Shugar, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Michael Joseph Shugar, 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: Medicare Enrolled 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 |