Osayame Austine Ekhaguere, MB, BS, MD, MPH | |
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
(765) 448-8000 | |
(765) 838-4758 |
Full Name | Osayame Austine Ekhaguere |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 5165 Mccarty Ln, 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 |
---|---|---|---|
1568729333 | NPI | - | NPPES |
815500571 | Other | IN | MEDICARE PTAN |
300013758 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01079516A (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01079516A (Indiana) | Primary |
Entity Name | University Pediatric Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 |
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 |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
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Osayame Austine Ekhaguere, MB, BS, MD, MPH Po Box 778912, Chicago, IL 60677-8912 Ph: (317) 777-6435 | Osayame Austine Ekhaguere, MB, BS, MD, MPH 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Dr. Lylan S. Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Linnette Sue Maier Woodman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8227 | |
Christopher O Wood, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Sabeena Rana Hubbard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698 | |
Lauren E Winsauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Theresa Anne Woods, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7611 | |
Nadeem Abbasi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-868-6302 |