| Julie T Massoth, NP | |
|
253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | |
| (812) 996-0323 | |
| (812) 996-0321 |
| Full Name | Julie T Massoth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 253 Sagamore Pkwy W, West 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 |
|---|---|---|---|
| 1730623604 | NPI | - | NPPES |
| 300017189 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010177 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71006755A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4320 |
| Arnett Clinic Llc | 0749184380 | 416 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie T Massoth, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Julie T Massoth, NP 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 Ph: (812) 996-0323 |
Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227 | |
Gayle Doll, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551 | |
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Mrs. Denajah Tyler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Northwestern Ave, West Lafayette, IN 47906 Phone: 313-828-1599 | |
Dr. Rita Allen Brennan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Northwestern Ave Ste 1100, West Lafayette, IN 47906 Phone: 630-290-9031 | |
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 |