| Samantha Leigh Vanderlaan, | |
|
1329 W 96th St, Indianapolis, IN 46260-1190 | |
| (317) 660-0888 | |
| Not Available |
| Full Name | Samantha Leigh Vanderlaan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1329 W 96th St, Indianapolis, 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 |
|---|---|---|---|
| 1932720810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Witham Health Services | Lebanon, IN | Hospital |
| Hendricks Regional Health | Danville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Gastroenterology, Inc., Pc | 7618981523 | 10 |
| Entity Name | Indianapolis Gastroenterology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518964493 PECOS PAC ID: 0244201432 Enrollment ID: O20040802001561 |
| Entity Name | Northside Gastroenterology, Inc., PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568578201 PECOS PAC ID: 7618981523 Enrollment ID: O20060131000311 |
| Entity Name | Excell for Life Family Care and Pediatrics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902192016 PECOS PAC ID: 5395915169 Enrollment ID: O20110906000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Leigh Vanderlaan, 1329 W 96th St, Indianapolis, IN 46260-1190 Ph: (317) 660-0888 | Samantha Leigh Vanderlaan, 1329 W 96th St, Indianapolis, IN 46260-1190 Ph: (317) 660-0888 |
James Braden Millward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd Mpc2#330, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 |
Cortnie N Yoder, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1402 E County Line Rd, Indianapolis, IN 46227 Phone: 317-887-7805 |
Kaitlin Eileen Ziedonis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5330 E Stop 11 Rd, Indianapolis, IN 46237 Phone: 317-893-1900 Fax: 317-893-1901 |
Olivia Cecile Cabanban, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7525 E 82nd St Ste A, Indianapolis, IN 46256 Phone: 317-621-1670 |
Rachel Hayden, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8038 Claridge Rd, Indianapolis, IN 46260 Phone: 317-518-8562 |
Amber Seaman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-2345 |
Allyson Nugent, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1050 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-274-7447 |