| Noel O Suanes, MD | |
|
528 N 1st St, Vincennes, IN 47591-1402 | |
| (812) 882-4434 | |
| (812) 885-6318 |
| Full Name | Noel O Suanes |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 528 N 1st St, Vincennes, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265400915 | NPI | - | NPPES |
| 200228390A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01050526A (Indiana) | Primary |
| Entity Name | Good Samaritan Hospital Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Noel O Suanes, MD 528 N 1st St, Vincennes, IN 47591-1402 Ph: (812) 882-4434 | Noel O Suanes, MD 528 N 1st St, Vincennes, IN 47591-1402 Ph: (812) 882-4434 |
Dr. Heather Ruthann Nichols, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 514 S 9th St, Vincennes, IN 47591 Phone: 812-882-8510 Fax: 812-885-8511 | |
Kenneth W Buehlman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 528 N 1st St, Vincennes, IN 47591 Phone: 812-882-4434 Fax: 812-885-6318 | |
Dr. Kathleen B Stutz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-882-5220 Fax: 812-885-3769 | |
Jerick C Pacheco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 528 N 1st St, Vincennes, IN 47591 Phone: 812-882-4434 Fax: 812-885-6318 |