Carl D Griffin, MD | |
2600 Greenbush St, Lafayette, IN 47904-2477 | |
(765) 448-8000 | |
(765) 448-8702 |
Full Name | Carl D Griffin |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
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 |
---|---|---|---|
1578532305 | NPI | - | NPPES |
000000197993 | Other | IN | ANTHEM PROVIDER NUMBER |
GR15376011 | Medicaid | IN | |
10825175 | Other | IN | CAQH NUMBER |
100085950 | Medicaid | IN | |
9397093 | Other | IN | PHCS PID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 01030600A (Indiana) | Primary |
207R00000X | Internal Medicine | 01030600A (Indiana) | Secondary |
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 |
---|---|
Carl D Griffin, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Carl D Griffin, MD 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
Elizabeth Riggs, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Unity Pl, Suite B, Lafayette, IN 47905 Phone: 765-446-1362 Fax: 765-446-1007 | |
Dr. John Carroll Shively, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3701 State Road 26 E, Lafayette, IN 47905 Phone: 765-448-5800 Fax: 765-448-2032 |