Dr Setshedi Sebata, MD MSC | |
2600 Ferry St, Lafayette, IN 47904-3055 | |
(765) 448-8000 | |
Not Available |
Full Name | Dr Setshedi Sebata |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2600 Ferry St, 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 |
---|---|---|---|
1245568500 | NPI | - | NPPES |
300008249 | Medicaid | IN | |
061833974 | Medicaid | AR | |
000001090906 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | T2009-140 (Arkansas) | Secondary |
208M00000X | Hospitalist | 01078746A (Indiana) | Secondary |
208000000X | Pediatrics | 54838 (Minnesota) | Primary |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
Mailing Address | Practice Location Address |
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Dr Setshedi Sebata, MD MSC Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Dr Setshedi Sebata, MD MSC 2600 Ferry St, Lafayette, IN 47904-3055 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 | |
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 | |
Ketan K Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 145a, Lafayette, IN 47905 Phone: 765-446-5040 Fax: 765-446-5041 |