| Danielle Cork, | |
|
1501 Hartford St, Lafayette, IN 47904-2134 | |
| (765) 428-5850 | |
| (765) 428-5851 |
| Full Name | Danielle Cork |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1501 Hartford St, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821477969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001791A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Louisville | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisville Observational Medicine Associates Psc | 2860890704 | 32 |
| Entity Name | Louisville Emergency Medicine Associates PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487604641 PECOS PAC ID: 1557357613 Enrollment ID: O20040423000047 |
| Entity Name | Louisville Observational Medicine Associates PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356018519 PECOS PAC ID: 2860890704 Enrollment ID: O20211007001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Cork, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 865-8133 | Danielle Cork, 1501 Hartford St, Lafayette, IN 47904-2134 Ph: (765) 428-5850 |
Rachael Guerin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 815-575-4585 |
Amy Elizabeth Spear, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8100 Fax: 765-446-7088 |
Olivia C Roberts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |
Amelia B Dale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 |
Jaimie Kolanowski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3750 Landmark Dr Ste A, Lafayette, IN 47905 Phone: 765-807-2780 Fax: 317-706-3417 |
Rachel Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 210, Lafayette, IN 47905 Phone: 765-446-5432 |
Katie Jo Gentry, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 235, Lafayette, IN 47905 Phone: 765-446-5065 Fax: 765-446-5170 |