Komivi Womitso, MD | |
2708 Ferry St, Lafayette, IN 47904-3021 | |
(765) 449-1555 | |
(765) 449-1110 |
Full Name | Komivi Womitso |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 2708 Ferry St, Lafayette, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588017560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01084238A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Lafayette | Lafayette, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Physician Network | 3072790682 | 983 |
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 |
---|---|
Komivi Womitso, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Komivi Womitso, MD 2708 Ferry St, Lafayette, IN 47904-3021 Ph: (765) 449-1555 |
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 |