| Lisa Michele Mctavish, MD | |
|
1500 Salem St, Lafayette, IN 47904-2164 | |
| (765) 448-8000 | |
| (765) 379-3312 |
| Full Name | Lisa Michele Mctavish |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 1500 Salem St, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982673687 | NPI | - | NPPES |
| 200083620 | Medicaid | IN | |
| 9007117 | Other | IN | PHCS PID NUMBER |
| 000000197894 | Other | IN | ANTHEM PROVIDER NUMBER - FAMILY MEDICINE |
| 10825581 | Other | IN | CAQH NUMBER |
| 000000990880 | Other | IN | ANTHEM PROVIDER NUMBER - DERMATOLOGY |
| 000000877221 | Other | IN | ANTHEM PROVIDER NUMBER - URGENT CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01044255A (Indiana) | Secondary |
| 207N00000X | Dermatology | 01044255A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01044255A (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 | 1041 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| 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 |
|---|---|
| Lisa Michele Mctavish, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Lisa Michele Mctavish, MD 1500 Salem St, Lafayette, IN 47904-2164 Ph: (765) 448-8000 |
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: Not Enrolled in Medicare 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 | |
Ellex Anthony Phillips, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-838-7101 | |
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: Accepting Medicare Assignments 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 |