Dr Timothy Dwayne Thut, MD | |
1811 Charlton Ct, Goshen, IN 46526-6464 | |
(574) 534-8200 | |
(574) 534-0411 |
Full Name | Dr Timothy Dwayne Thut |
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Gender | Male |
Speciality | Family Medicine |
Location | 1811 Charlton Ct, Goshen, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811906084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01025799 (Indiana) | Primary |
Entity Name | Goshen Family Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033292735 PECOS PAC ID: 9739118308 Enrollment ID: O20050804000771 |
Mailing Address | Practice Location Address |
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Dr Timothy Dwayne Thut, MD 1104 S 7th St, Goshen, IN 46526-4304 Ph: (574) 533-9945 | Dr Timothy Dwayne Thut, MD 1811 Charlton Ct, Goshen, IN 46526-6464 Ph: (574) 534-8200 |
Frank Louis Piaskowy, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2120 Rieth Blvd, Ste C, Goshen, IN 46526 Phone: 574-875-4914 | |
Dr. Christina Haimes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Goshen, IN 46526 Phone: 574-533-7600 Fax: 574-533-7666 | |
Dr. Jeffrey A. Eck, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2824 Elkhart Rd, Goshen, IN 46526 Phone: 574-535-1700 Fax: 574-535-1799 | |
Jingpin Li, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Goshen, IN 46526 Phone: 574-533-7600 Fax: 574-364-7666 | |
Susan Kay Derrickson, NP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300 | |
Dr. Laura E Munkel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2120 Rieth Blvd, Suite A, Goshen, IN 46526 Phone: 574-875-5126 Fax: 574-875-1874 | |
Dr. Brian D. King, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2014 S Main St, Suite B, Goshen, IN 46526 Phone: 574-533-8639 Fax: 574-534-9542 |