Gordon Daniel Welk, MD | |
253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | |
(765) 448-8000 | |
(765) 446-7023 |
Full Name | Gordon Daniel Welk |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 253 Sagamore Pkwy W, 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 |
---|---|---|---|
1912966748 | NPI | - | NPPES |
000000189493 | Other | IN | UC ANTHEM PROVIDER NUMBER |
000000341035 | Other | IN | FP ANTHEM PROVIDER NUMBER |
10826167 | Other | IN | CAQH NUMBER |
100117190 | Medicaid | IN | |
9038773 | Other | IN | PHCS PID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01025175A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01025175A (Indiana) | Primary |
Entity Name | Arnett Clinic Llc |
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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 |
---|---|
Gordon Daniel Welk, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Gordon Daniel Welk, MD 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 Ph: (765) 448-8000 |
Dr. John F. Plascak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6262 Fax: 765-463-9122 | |
David Lee Mitchell-flynn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3922 Deerpath Pl, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Dr. Keith W. March, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6262 Fax: 765-463-9122 | |
Martin J Maassen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1340 Fawn Ridge Dr, West Lafayette, IN 47906 Phone: 765-491-1422 Fax: 765-742-7258 | |
Mr. Jason Paul Hodde, MS, ATC/L Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 Innovation Place, West Lafayette, IN 47906 Phone: 765-497-3355 | |
David Allen Gay, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 | |
Margo Ann Taylor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 |