| Stuart Devaul, MD | |
|
5111 Clinton Dr, Kokomo, IN 46902-7136 | |
| (765) 453-8800 | |
| (765) 453-8813 |
| Full Name | Stuart Devaul |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5111 Clinton Dr, Kokomo, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255414843 | NPI | - | NPPES |
| 200075150E | Medicaid | IN | |
| 000000525514 | Other | IN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01042975 (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01042975A (Indiana) | Primary |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Devaul, MD 5111 Clinton Dr, Kokomo, IN 46902-7136 Ph: (765) 453-8800 | Stuart Devaul, MD 5111 Clinton Dr, Kokomo, IN 46902-7136 Ph: (765) 453-8800 |
Mrs. Lynn T Coy, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 317-802-3139 | |
Richard Hehner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3505 S Reed Rd, Kokomo, IN 46902 Phone: 765-453-8666 | |
Sukhdev Dhindsa, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-870-0490 Fax: 317-870-0499 | |
Alex Gutierrez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-452-5611 | |
Paula Wilham, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8346 | |
Natalie M Emert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3500 | |
Louis Hahn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-870-0490 Fax: 317-870-0499 |