Raymond Kuwahara, MD | |
1500 Salem St, Lafayette, IN 47904-2164 | |
(765) 448-8000 | |
(765) 448-8335 |
Full Name | Raymond Kuwahara |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 28 Years |
Location | 1500 Salem 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 |
---|---|---|---|
1376512244 | NPI | - | NPPES |
9290815 | Other | IN | PHCS PID NUMBER |
10873474 | Other | IN | CAQH NUMBER |
000000360446 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 01060228A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Regional Medical Center | Sioux city, IA | Hospital |
Orange City Area Health System | Orange city, IA | Hospital |
Floyd Valley Healthcare | Le mars, IA | Hospital |
Cherokee Regional Medical Center | Cherokee, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cnos Pc | 4284548942 | 99 |
Cnos Pc | 4284548942 | 99 |
Entity Name | Cnos Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881604320 PECOS PAC ID: 4284548942 Enrollment ID: O20031217000907 |
Mailing Address | Practice Location Address |
---|---|
Raymond Kuwahara, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Raymond Kuwahara, MD 1500 Salem St, Lafayette, IN 47904-2164 Ph: (765) 448-8000 |
Gary P Dillon, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7029 | |
Mark Adrian Lake, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15 Executive Dr, Suite 4, Lafayette, IN 47905 Phone: 765-838-3428 Fax: 765-838-3440 | |
Patricia M Dymek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Lori Siegert Swan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2020 Union St, Suite 300, Lafayette, IN 47904 Phone: 765-446-0282 Fax: 765-446-8299 | |
Kacie Hoffman, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100 | |
Tamzin A Rosenwasser, Dermatology Medicare: Medicare Enrolled Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 |