| Paul Y Shin, MD | |
|
114 Executive Dr, Suite A, Lafayette, IN 47905-4883 | |
| (765) 446-5185 | |
| (765) 446-5186 |
| Full Name | Paul Y Shin |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 29 Years |
| Location | 114 Executive Dr, 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 |
|---|---|---|---|
| 1821011594 | NPI | - | NPPES |
| 200800490 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 01060949A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Dialysis Lafayette Ii | Lafayette, IN | Dialysis facility |
| Fresenius Medical Care Logansport | Logansport, IN | Dialysis facility |
| Fresenius Medical Care Peru | Peru, IN | Dialysis facility |
| Lafayette Home Dialysis | Lafayette, IN | Dialysis facility |
| Ea Motto Dialysis | Davenport, IA | Dialysis facility |
| Mercyone Genesis | Davenport, IA | Hospital |
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Parkview Logansport Hospital, Inc | Logansport, IN | Hospital |
| Ascension St Vincent Williamsport | Williamsport, IN | Hospital |
| Mercyone Genesis Silvis Medical Center | Silvis, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Health System | 6103829338 | 262 |
| Entity Name | Mercy Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386832764 PECOS PAC ID: 3375639586 Enrollment ID: O20071019000139 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Y Shin, MD Po Box 4699, Lafayette, IN 47903-4699 Ph: (765) 449-2732 | Paul Y Shin, MD 114 Executive Dr, Suite A, Lafayette, IN 47905-4883 Ph: (765) 446-5185 |
Michelle B Herberts, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8564 |
Jahan Ali Khajeh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 |
Dr. Carlos Salazar Carcamo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-583-2444 |
Steven Rudolf Steinhubl, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4333 |
Michael Leo Hogan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 Fax: 765-775-2831 |
Carlos A Gambirazio, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7624 |
Salim S Abou Jaoude, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3920 St Francis Way Ste 220, Lafayette, IN 47905 Phone: 765-428-5950 Fax: 765-428-5951 |