| Chad E Davis, NP | |
|
1098 S State Road 25, Logansport, IN 46947-6723 | |
| (574) 722-4141 | |
| (574) 735-3414 |
| Full Name | Chad E Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1098 S State Road 25, Logansport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104081702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71002747A (Indiana) | Primary |
| Entity Name | State Of Indiana Auditor Of State |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad E Davis, NP 1098 S State Road 25, Logansport, IN 46947-6723 Ph: (574) 722-4141 | Chad E Davis, NP 1098 S State Road 25, Logansport, IN 46947-6723 Ph: (574) 722-4141 |
Ms. Lois Jane Taylor, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9366 Fax: 574-722-5987 | |
Ms. Jo Estes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308 | |
Michelle Leigh Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3727 E Market St, Logansport, IN 46947 Phone: 574-727-2114 | |
Thomas Calvin Kerr, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1098 South State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-737-3907 | |
Alison G Kaneshiro, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541 | |
Tracy L. Thomas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 574-735-0429 |