Courtney R Canos, MD | |
132 Industrial Drive, Lawrenceburg, IN 47025 | |
(812) 537-5759 | |
(812) 537-9974 |
Full Name | Courtney R Canos |
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Gender | Female |
Speciality | Pediatrics |
Location | 132 Industrial Drive, Lawrenceburg, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679541858 | NPI | - | NPPES |
200459830 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01057671A (Indiana) | Primary |
Entity Name | Duke University Affiliated Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 |
Mailing Address | Practice Location Address |
---|---|
Courtney R Canos, MD Po Box 4125, Lawrenceburg, IN 47025 Ph: (812) 537-5759 | Courtney R Canos, MD 132 Industrial Drive, Lawrenceburg, IN 47025 Ph: (812) 537-5759 |
Veronica Reyes Jensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2018 Jamison Dr, Lawrenceburg, IN 47025 Phone: 812-496-8772 Fax: 812-656-8084 | |
Leslie H Glick, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 606 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 812-496-8780 Fax: 812-537-5826 | |
Carey Compton Bertsch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 98 Elm St, Lawrenceburg, IN 47025 Phone: 812-496-8777 Fax: 812-537-9974 | |
Dr. Amy Michelle Clark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 98 Elm St, Lawrenceburg, IN 47025 Phone: 812-496-8777 Fax: 812-537-9974 |