| Peter J Hillsamer, MD | |
|
2320 Concord Rd Ste A, Lafayette, IN 47909-2710 | |
| (765) 477-7436 | |
| (765) 477-1245 |
| Full Name | Peter J Hillsamer |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 40 Years |
| Location | 2320 Concord Rd Ste A, 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 |
|---|---|---|---|
| 1316026545 | NPI | - | NPPES |
| 100232740 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 01038246A (Indiana) | Secondary |
| 207Y00000X | Otolaryngology | 01038246A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lafayette Otolaryngology Associates, Inc | 2466443395 | 4 |
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Lafayette Otolaryngology Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720157951 PECOS PAC ID: 2466443395 Enrollment ID: O20040520000238 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Hillsamer, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Peter J Hillsamer, MD 2320 Concord Rd Ste A, Lafayette, IN 47909-2710 Ph: (765) 477-7436 |
Kurtis Charles Birusingh, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7625 | |
Dr. Don R Jaffe, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-838-5842 Fax: 765-838-4771 | |
Dr. Kyle D. Loy, M.D. P.C. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2606 Veterans Memorial Pkwy S, Suite 1, Lafayette, IN 47909 Phone: 765-474-4500 Fax: 765-474-1122 | |
Thomas Francis Brennan, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7625 | |
Aaron Joel Duberstein, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2320 Concord Rd Ste A, Lafayette, IN 47909 Phone: 765-477-7436 Fax: 765-477-1245 | |
Vivek Mathew John, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8858 |