Gerritt F Smith, MD | |
1701 S Creasy Ln, Lafayette, IN 47905-4972 | |
(765) 423-6690 | |
(765) 423-6691 |
Full Name | Gerritt F Smith |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1701 S Creasy Ln, 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 |
---|---|---|---|
1134189533 | NPI | - | NPPES |
200009780 | Medicaid | IN | |
000000110550 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01033525A (Indiana) | Primary |
Entity Name | Unity Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619929098 PECOS PAC ID: 0244123362 Enrollment ID: O20040203001083 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Gerritt F Smith, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Gerritt F Smith, MD 1701 S Creasy Ln, Lafayette, IN 47905-4972 Ph: (765) 423-6690 |
David Halter, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 235, Lafayette, IN 47905 Phone: 765-446-5065 Fax: 765-446-5170 | |
Richard C Berg Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8027 | |
Dr. Surya Ramachandran Kumar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 317-923-1787 Fax: 317-962-0853 | |
Dr. Ruban Nirmalan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8027 | |
Dr. Lewis Jeremy Johnson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3920 St Francis Way Ste 105, Lafayette, IN 47905 Phone: 765-428-1660 Fax: 765-428-1627 | |
John E Francis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 235, Lafayette, IN 47905 Phone: 765-446-5065 Fax: 765-446-5170 |