Alvin Heng Tao, MD | |
2600 Greenbush St, Lafayette, IN 47904-2479 | |
(765) 448-8000 | |
(765) 446-7072 |
Full Name | Alvin Heng Tao |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 2600 Greenbush St, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649239229 | NPI | - | NPPES |
00000018276 | Other | IN | ANTHEM PROVIDER NUMBER |
10826065 | Other | IN | CAQH NUMBER |
TA12876018 | Medicaid | IN | |
100078500 | Medicaid | IN | |
9397539 | Other | IN | PHCS PID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 01032528A (Indiana) | Primary |
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 |
---|---|
Alvin Heng Tao, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Alvin Heng Tao, MD 2600 Greenbush St, Lafayette, IN 47904-2479 Ph: (765) 448-8000 |
Jason M Burgett, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 245, Lafayette, IN 47905 Phone: 765-446-5130 Fax: 765-446-5131 | |
Thomas Paul Mattingly, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1410 Union St, Lafayette, IN 47904 Phone: 765-423-2977 Fax: 765-423-1149 | |
Robert Larew, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7072 | |
David Ober Magnante, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 975 Mezzanine Dr, Suite B, Lafayette, IN 47905 Phone: 765-449-7564 Fax: 765-807-7943 | |
Rodney B. Kusumi, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1013 N 13th St, Lafayette, IN 47904 Phone: 765-428-8888 Fax: 765-428-8889 | |
Kathleen M Williamson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 Teal Rd Ste 8, Lafayette, IN 47905 Phone: 765-477-2020 | |
Dr. Robert T Williamson, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1400 Teal Rd, Suite 8, Lafayette, IN 47905 Phone: 765-477-2020 Fax: 765-477-8200 |