Dr Timothy B O'donnell, MD | |
156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906-1569 | |
(765) 204-1122 | |
(765) 205-8322 |
Full Name | Dr Timothy B O'donnell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 156 Sagamore Pkwy W Ste A, West Lafayette, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144485764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11014237A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
Franciscan Health Lafayette | Lafayette, IN | Hospital |
Mercy Regional Medical Center | Lorain, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coze Health Medical Llc | 4880933514 | 2 |
Entity Name | Coze Health Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356817894 PECOS PAC ID: 4880933514 Enrollment ID: O20190225001808 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy B O'donnell, MD 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906-1569 Ph: (765) 204-1122 | Dr Timothy B O'donnell, MD 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906-1569 Ph: (765) 204-1122 |
Gerald N Maesaka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 | |
Andrew Keith Edwards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 | |
Scott Carrington, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2424 Fax: 765-463-2249 | |
Leonia Scott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 N Grant St, West Lafayette, IN 47906 Phone: 317-201-4566 | |
Jerrod Edward Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6262 Fax: 765-463-9122 | |
Kishan B Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 |