| Premier Gastroenterology | |
|
3930 Mezzanine Dr Suite D Lafayette IN 47905-8646 | |
| (765) 807-2787 | |
| (765) 807-7989 |
| Full Name | Premier Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3930 Mezzanine Dr, Lafayette, Indiana |
| Authorized Official Name and Position | Martha K Miller (DIRECTOR OF BILLING) |
| Authorized Official Contact | 7654465286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Gastroenterology Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 449-2732 | Premier Gastroenterology 3930 Mezzanine Dr Suite D Lafayette IN 47905-8646 Ph: (765) 807-2787 |
| NPI Number | 1265773402 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265773402 | NPI | - | NPPES |
| 201152580 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Indiana) | Primary |
Tlc Consulting Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 Main St Ste 210, Lafayette, IN 47901 Phone: 765-404-8099 |
Kelly Nutrition, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Dr Ste F, Lafayette, IN 47905 Phone: 765-413-5609 |
St Elizabeth Infusion Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 Unity Pl, Suite 365, Lafayette, IN 47905 Phone: 765-446-5417 Fax: 765-446-5317 |
Fundamental Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 S Creasy Ln Ste K3, Lafayette, IN 47905 Phone: 765-838-2310 Fax: 765-838-1035 |
Horizon Oncology Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 Unity Pl, Ste 365, Lafayette, IN 47905 Phone: 765-446-5111 Fax: 765-446-5165 |
Valley Oaks Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2323 Ferry Street, Floor 2, Lafayette, IN 47904 Phone: 866-682-5539 |