| Wayne L Farley Jr, DO | |
|
642 W Hospital Rd, Paoli, IN 47454-9672 | |
| (812) 723-7450 | |
| (812) 723-7450 |
| Full Name | Wayne L Farley Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 642 W Hospital Rd, Paoli, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093764417 | NPI | - | NPPES |
| 131883418 | Medicaid | TX | |
| 300088888 | Medicaid | IN | |
| 131883413 | Medicaid | TX | |
| 8BD720 | Other | TX | BCBS |
| 131883417 | Medicaid | TX | |
| 1101742507 | Other | IN | ANTHEM PTAN |
| 131883415 | Medicaid | TX | |
| 163460062 | Other | IN | MEDICARE PTAN |
| 131883414 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | H8031 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 02007422A (Indiana) | Primary |
| Entity Name | Westover Hills Women's Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477765824 PECOS PAC ID: 9830116169 Enrollment ID: O20051026000895 |
| Entity Name | Bsz Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285934075 PECOS PAC ID: 3779764584 Enrollment ID: O20110228000582 |
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
| Entity Name | Obhg Texas Holdings Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
| Entity Name | Baylor College Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne L Farley Jr, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Wayne L Farley Jr, DO 642 W Hospital Rd, Paoli, IN 47454-9672 Ph: (812) 723-7450 |
Rudolph Carlo King, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7450 Fax: 812-723-7508 | |
Michael Norton Becker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7450 Fax: 812-723-7508 |