| Dukes Physician Services LLC | |
|
275 W 12th St Peru IN 46970-1638 | |
| (765) 472-8000 | |
| Not Available |
| Full Name | Dukes Physician Services LLC |
|---|---|
| Speciality | General Practice |
| Location | 275 W 12th St, Peru, Indiana |
| Authorized Official Name and Position | Kristina Music (DIRECTOR/PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dukes Physician Services LLC 1000 N Broadway Peru IN 46970-1070 Ph: (765) 472-5335 | Dukes Physician Services LLC 275 W 12th St Peru IN 46970-1638 Ph: (765) 472-8000 |
| NPI Number | 1255396883 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 3375508211 |
|---|---|
| Medicare Enrollment ID | O20041119000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255396883 | NPI | - | NPPES |
| 200514420 | Medicaid | IN |
| Provider Name | David W Shepherd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942266911 PECOS PAC ID: 8921992652 Enrollment ID: I20040212000168 |
| Provider Name | Roderick J Sawyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871554550 PECOS PAC ID: 6305818055 Enrollment ID: I20040812000114 |
| Provider Name | Doyle E Lorenz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184689457 PECOS PAC ID: 5193789634 Enrollment ID: I20041115001235 |
| Provider Name | Nathan a Epp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346325719 PECOS PAC ID: 2163529355 Enrollment ID: I20070523000303 |
| Provider Name | Elizabeth E Wolfe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730316399 PECOS PAC ID: 4981759487 Enrollment ID: I20090908000043 |
| Provider Name | Carrie Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871751743 PECOS PAC ID: 1951455989 Enrollment ID: I20101005000413 |
| Provider Name | Brenda Lee Arter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073866547 PECOS PAC ID: 7810133469 Enrollment ID: I20130426000259 |
| Provider Name | Ricky Spangler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659718872 PECOS PAC ID: 9537393053 Enrollment ID: I20131015002179 |
| Provider Name | Phillip C Penny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326311481 PECOS PAC ID: 5395013890 Enrollment ID: I20170623001323 |
| Provider Name | Richard Pennington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487166757 PECOS PAC ID: 2668732132 Enrollment ID: I20180131002048 |
| Provider Name | David a Feaker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316213747 PECOS PAC ID: 0648508796 Enrollment ID: I20210416000626 |
| Provider Name | Nicholas Arnold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326400771 PECOS PAC ID: 7911299532 Enrollment ID: I20220329000698 |
| Provider Name | Nathan Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326669318 PECOS PAC ID: 3476974775 Enrollment ID: I20251003000515 |
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