| Alpine Physicians, Llc | |
|
3660 Rome Dr Lafayette IN 47905-4488 | |
| (765) 446-9394 | |
| (765) 447-8875 |
| Full Name | Alpine Physicians, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3660 Rome Dr, Lafayette, Indiana |
| Authorized Official Name and Position | Colleen Brennan (VP PHYS SERVICES) |
| Authorized Official Contact | 4125883546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Physicians, Llc 100 Hazel Ln Ste 305 Sewickley PA 15143-1249 Ph: (412) 588-3546 | Alpine Physicians, Llc 3660 Rome Dr Lafayette IN 47905-4488 Ph: (765) 446-9394 |
| NPI Number | 1225554801 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 06/12/2019 |
| Medicare PECOS PAC ID | 5496014987 |
|---|---|
| Medicare Enrollment ID | O20180108002311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225554801 | NPI | - | NPPES |
| 300011562 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nizar El Khalili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861429714 PECOS PAC ID: 9537148101 Enrollment ID: I20050419000584 |
| Provider Name | Aldo Antonio Buonanno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497786701 PECOS PAC ID: 3173715224 Enrollment ID: I20101007000227 |
| Provider Name | Jayati K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477654481 PECOS PAC ID: 3173649266 Enrollment ID: I20120125000934 |
| Provider Name | Christy Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578595120 PECOS PAC ID: 1951484542 Enrollment ID: I20130607000080 |
| Provider Name | Anna Philipose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740696467 PECOS PAC ID: 2961724844 Enrollment ID: I20141203002021 |
| Provider Name | Clyde Hugo Yan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922558865 PECOS PAC ID: 1850679986 Enrollment ID: I20161025001187 |
| Provider Name | Xixi Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174815997 PECOS PAC ID: 0648560607 Enrollment ID: I20170912001321 |
| Provider Name | Jacqueline Jones Toal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488697 PECOS PAC ID: 8628358843 Enrollment ID: I20190405001521 |
| Provider Name | Joanna Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023482627 PECOS PAC ID: 3173826013 Enrollment ID: I20190604001957 |
| Provider Name | Jessica L Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447886957 PECOS PAC ID: 2264854553 Enrollment ID: I20200615000606 |
| Provider Name | Brooke Lavignette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548875669 PECOS PAC ID: 9436578713 Enrollment ID: I20201006002590 |
| Provider Name | Hayley W Kaelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891397626 PECOS PAC ID: 7315349552 Enrollment ID: I20210712001451 |
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