Lori W Wanko, DO | |
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
(765) 448-8000 | |
(765) 838-6351 |
Full Name | Lori W Wanko |
---|---|
Gender | Female |
Speciality | Internal Medicine - Nephrology |
Location | 5165 Mccarty 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 |
---|---|---|---|
1215270897 | NPI | - | NPPES |
300032698 | Medicaid | IN | |
815500545 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 02005809A (Indiana) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 02005809A (Indiana) | Primary |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
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 | Indiana Nephrology And Internal Medicine, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669493722 PECOS PAC ID: 2769389550 Enrollment ID: O20031218000705 |
Entity Name | Renal Associates Of Central Indiana Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962507285 PECOS PAC ID: 7911975768 Enrollment ID: O20040920001264 |
Mailing Address | Practice Location Address |
---|---|
Lori W Wanko, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Lori W Wanko, DO 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Michelle B Herberts, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8564 | |
Dr. Carlos Salazar Carcamo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-583-2444 | |
Maria L Srour, MD Nephrology Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7631 | |
Steven Rudolf Steinhubl, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4333 | |
Michael Leo Hogan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 Fax: 765-775-2831 | |
Carlos A Gambirazio, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7624 | |
Dr. Christopher Patrick Kaup, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698 |