Gerald N Maesaka, MD | |
601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | |
(765) 494-1700 | |
(765) 496-1227 |
Full Name | Gerald N Maesaka |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 601 Stadium Mall Dr, West 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 |
---|---|---|---|
1073594784 | NPI | - | NPPES |
200148130 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01044360 (Indiana) | Primary |
Entity Name | Medexpress Urgent Care Pc Indiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609114578 PECOS PAC ID: 8325286834 Enrollment ID: O20130522000565 |
Entity Name | Trustees Of Purdue University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619055712 PECOS PAC ID: 2567373012 Enrollment ID: O20200821001390 |
Mailing Address | Practice Location Address |
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Gerald N Maesaka, MD 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 Ph: (765) 494-1700 | Gerald N Maesaka, MD 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 Ph: (765) 494-1700 |
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 | |
Dr. Timothy B O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906 Phone: 765-204-1122 Fax: 765-205-8322 | |
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 |