| Thomas W Heniff, MD | |
|
2605 N Lebanon St, Lebanon, IN 46052 | |
| (214) 506-2610 | |
| Not Available |
| Full Name | Thomas W Heniff |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2605 N Lebanon St, Lebanon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174541189 | NPI | - | NPPES |
| 000000586622 | Other | IN | ANTHEM PROVIDER NUMBER FOR ARNETT CLINIC, LLC |
| 200028480 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01042775A (Indiana) | Primary |
| Entity Name | Lafayette Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891741641 PECOS PAC ID: 9931172863 Enrollment ID: O20040818000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Heniff, MD 4835 Lbj Fwy, Dallas, TX 75244-6005 Ph: () - | Thomas W Heniff, MD 2605 N Lebanon St, Lebanon, IN 46052 Ph: (214) 506-2610 |
Adam Thomas, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 | |
Jonathan Fried, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-448-8000 | |
Dr. Arthur Flores, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1310 S Lebanon St, Lebanon, IN 46052 Phone: 765-482-7005 | |
Johanna Rose Newton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8500 | |
Dr. Lauren Stanley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2605 N Lebanon St, Witham Health Services Emergency Department, Lebanon, IN 46052 Phone: 765-485-8500 | |
Dr. Makalah Elaine Solway, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2605 N Lebanon St, Emergency Department, Lebanon, IN 46052 Phone: 765-485-8500 |