Keith Randall Whitesides, MD in Lafayette, IN

Keith Randall Whitesides, MD is a Family Medicine physician based in Lafayette, Indiana. Keith Randall Whitesides is licensed to practice in Indiana (license number 01032200A) and his current practice location is 2800 Ferry St, Lafayette, Indiana. He can be reached at his office (for appointments etc.) via phone at (765) 448-8000.

NPI number for Keith Randall Whitesides is 1548229644 and his current mailing address is Po Box 5545, Lafayette, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548229644.

Contact Information

	Keith Randall Whitesides, MD
	2800 Ferry St, Lafayette, IN 47904-3022
	(765) 448-8000
	(765) 447-9749

Map and Direction

Physician's Profile

Full Name	Keith Randall Whitesides
Gender	Male
Speciality	Family Medicine
Location	2800 Ferry St, Lafayette, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1548229644
Provider Enumeration Date: 03/20/2006
Last Update Date: 07/23/2012

Medical Identifiers

Medical identifiers for Keith Randall Whitesides such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548229644	NPI	-	NPPES
431714	Other	IN	PHCS PID NUMBER
000000190237	Other	IN	ANTHEM PROVIDER NUMBER
10826183	Other	IN	CAQH NUMBER
200100480	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01032200A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Randall Whitesides is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith Randall Whitesides, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000	Keith Randall Whitesides, MD 2800 Ferry St, Lafayette, IN 47904-3022 Ph: (765) 448-8000

Reviews and Comments

Family Medicine Doctors in Lafayette, IN

Ian Reed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 South St, Lafayette, IN 47904 Phone: 765-807-2320 Fax: 765-807-2330
Martin Scheidt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Walter Scholer Dr, Lafayette, IN 47909 Phone: 765-448-8000 Fax: 765-448-8257
Alison Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3750 Landmark Dr Ste A, Lafayette, IN 47905 Phone: 765-448-4511 Fax: 765-447-7312
Jeffrey C Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7613
Dr. Jhon M Nogales Pimienta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-838-7101
Navid Ahsani, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 St Francis Way Ste 209, Lafayette, IN 47905 Phone: 765-775-2830
John P Cusack, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3554 Promenade Pkwy, Suite F, Lafayette, IN 47909 Phone: 765-477-2200 Fax: 765-477-0277

Keith Randall Whitesides, MD - Family Medicine in Lafayette, IN