Noel O Suanes, MD | |
528 N 1st St, Vincennes, IN 47591-1402 | |
(812) 882-4434 | |
(812) 885-6318 |
Full Name | Noel O Suanes |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 528 N 1st St, Vincennes, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265400915 | NPI | - | NPPES |
200228390A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01050526A (Indiana) | Primary |
Entity Name | Good Samaritan Hospital Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
Mailing Address | Practice Location Address |
---|---|
Noel O Suanes, MD 528 N 1st St, Vincennes, IN 47591-1402 Ph: (812) 882-4434 | Noel O Suanes, MD 528 N 1st St, Vincennes, IN 47591-1402 Ph: (812) 882-4434 |
Dr. Heather Ruthann Nichols, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 528 N 1st St, Vincennes, IN 47591 Phone: 812-882-4434 Fax: 812-885-6318 | |
Kenneth W Buehlman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 528 N 1st St, Vincennes, IN 47591 Phone: 812-882-4434 Fax: 812-885-6318 | |
Dr. Kathleen B Stutz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-882-5220 Fax: 812-885-3769 | |
Jerick C Pacheco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 528 N 1st St, Vincennes, IN 47591 Phone: 812-882-4434 Fax: 812-885-6318 |