| Mr Douglas D Kesler, PA | |
|
1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | |
| (765) 447-4165 | |
| (765) 447-6978 |
| Full Name | Mr Douglas D Kesler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1411 S Creasy Lane, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558685495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001164A (Indiana) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 10001164A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedics-indianapolis Inc | 7416860663 | 357 |
| Entity Name | Orthopaedics-indianapolis Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336252451 PECOS PAC ID: 7416860663 Enrollment ID: O20031124000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas D Kesler, PA 8450 Northwest Blvd, Indianapolis, IN 46278-1381 Ph: (317) 802-2000 | Mr Douglas D Kesler, PA 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 Ph: (765) 447-4165 |
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 |
Sarah E Wilson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905 Phone: 765-447-4165 Fax: 765-447-6978 |
Rachel Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 210, Lafayette, IN 47905 Phone: 765-446-5432 |