Gary William Dupre, MD | |
2600 Ferry St, Lafayette, IN 47904-3055 | |
(765) 448-8000 | |
(765) 838-4698 |
Full Name | Gary William Dupre |
---|---|
Gender | Male |
Speciality | Hospitalist |
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 |
---|---|---|---|
1568431096 | NPI | - | NPPES |
000000192362 | Other | IN | ANTHEM PROVIDER NUMBER |
11484453 | Other | IN | CAQH NUMBER |
9397021 | Other | IN | PHCS PID NUMBER |
100206900 | Medicaid | IN | |
DU64948011 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01033752A (Indiana) | Secondary |
208M00000X | Hospitalist | 01033752A (Indiana) | Primary |
Entity Name | Arnett Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Mailing Address | Practice Location Address |
---|---|
Gary William Dupre, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Gary William Dupre, MD 2600 Ferry St, Lafayette, IN 47904-3055 Ph: (765) 448-8000 |
Ryan I Deweese, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698 | |
Dr. Kaushal Narayanbhai Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698 | |
Christopher A Mansfield, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698 | |
Dr. Abdul K Sankari, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709 | |
Dr. Mark H Williams, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2525 South St, Lafayette, IN 47904 Phone: 765-807-2320 Fax: 765-807-2330 | |
Eva Bartaula, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709 | |
Na Zhu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Lane, Lafayette, IN 47905 Phone: 765-448-8000 |