Donald Fahler, | |
253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | |
(765) 448-8000 | |
(765) 448-7606 |
Full Name | Donald Fahler |
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Gender | Male |
Speciality | Pediatrics |
Location | 253 Sagamore Pkwy W, West 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 |
---|---|---|---|
1225290711 | NPI | - | NPPES |
200980950 | Medicaid | IN | |
000000670768 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 57.013903 (Ohio) | Secondary |
208000000X | Pediatrics | 01067769A (Indiana) | Primary |
Entity Name | Arnett Clinic Llc |
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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 |
---|---|
Donald Fahler, 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Donald Fahler, 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 Ph: (765) 448-8000 |
Dr. Elizabeth Anne Basquin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 518 Hillcrest Rd, West Lafayette, IN 47906 Phone: 765-463-9430 | |
James O Reeder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2995 N Salisbury St, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8335 | |
Mrs. Mira N Slizovsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-5252 Fax: 765-463-2289 | |
Charlotte Joy Alexandra Steele-morris, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 715 Clinic Dr, Purdue University, Lyles-porter Hall, West Lafayette, IN 47907 Phone: 765-494-8588 | |
Timothy Matthew Snyder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2424 Fax: 765-463-2249 | |
Gerald Wehr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 |