Douglas E Claybrook, MD | |
221 S 6th St, Terre Haute, IN 47807-4214 | |
(812) 242-3130 | |
(812) 242-3596 |
Full Name | Douglas E Claybrook |
---|---|
Gender | Male |
Speciality | Urology |
Location | 221 S 6th St, Terre Haute, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932216231 | NPI | - | NPPES |
100250650 | Medicaid | IN | |
000000089642 | Other | ANTHEM | |
340009236 | Other | RAILROAD MCARE PALAMETTO | |
340009242 | Other | RAILROAD MCARE PALAMETTO | |
P00828496 | Other | IN | RAILROAD MEDICARE |
100250650U | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01029167A (Indiana) | Primary |
208800000X | Urology | 36089198 (Illinois) | Secondary |
Entity Name | Arkansas Urology, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093720443 PECOS PAC ID: 4082502547 Enrollment ID: O20040306000102 |
Mailing Address | Practice Location Address |
---|---|
Douglas E Claybrook, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3130 | Douglas E Claybrook, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3130 |
Stephen L Schwartz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3130 Fax: 812-242-3596 | |
Monte L Cordray, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1429 No 6th St, Terre Haute, IN 47807 Phone: 812-242-3130 Fax: 812-242-3596 | |
Dr. Mohammed Zaher, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3130 Fax: 812-242-3596 | |
Michael James Elkins Shanks, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 3401 S 4th St, Terre Haute, IN 47802 Phone: 812-232-9596 Fax: 812-232-7992 |