Dr Michael Jay Scott Sheridan, MD | |
1116 N 16th St Ste A, Lafayette, IN 47904 | |
(765) 448-8000 | |
(765) 448-8807 |
Full Name | Dr Michael Jay Scott Sheridan |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 1116 N 16th St Ste A, 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 |
---|---|---|---|
1174519466 | NPI | - | NPPES |
78677 | Other | FL | BCBS OF FL |
841624482 | Other | FL | TRICARE |
000000851467 | Other | IN | ANTHEM PROVIDER NUMBER |
266749500 | Medicaid | FL | |
201023730 | Medicaid | IN |
Entity Name | West Florida Cardiology Network, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801198023 PECOS PAC ID: 8729260641 Enrollment ID: O20110314000311 |
Mailing Address | Practice Location Address |
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Dr Michael Jay Scott Sheridan, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Dr Michael Jay Scott Sheridan, MD 1116 N 16th St Ste A, Lafayette, IN 47904 Ph: (765) 448-8000 |
Dr. Hartmuth Bruno Bittner, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 | |
Dr. Thomas X Aufiero, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1176 N. 16th Street, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8085 | |
Dr. Kok H Lim, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 317-923-1787 Fax: 317-962-0853 | |
Kenneth Samuel Stone, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1116 N 16th St, Suite A, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8054 | |
Dr. Douglas Charles Wallace, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3900 St Francis Way, Ste 201, Lafayette, IN 47905 Phone: 765-446-7981 Fax: 765-446-7982 |