Stephen Henson, MD | |
2600 Greenbush St, Lafayette, IN 47904-2479 | |
(765) 448-8000 | |
(765) 448-7625 |
Full Name | Stephen Henson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 2600 Greenbush St, 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 |
---|---|---|---|
1902875586 | NPI | - | NPPES |
10825262 | Other | IN | CAQH NUMBER |
HE80478004 | Medicaid | IN | |
100231190 | Medicaid | IN | |
000000179580 | Other | IN | ANTHEM PROVIDER NUMBER |
9039384 | Other | IN | PHCS PID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 010280084A (Indiana) | Primary |
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 |
Mailing Address | Practice Location Address |
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Stephen Henson, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Stephen Henson, MD 2600 Greenbush St, Lafayette, IN 47904-2479 Ph: (765) 448-8000 |
Kurtis Charles Birusingh, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7625 | |
Peter J Hillsamer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2320 Concord Rd, Lafayette, IN 47909 Phone: 765-477-7436 Fax: 765-477-1245 | |
Paul Forrestal Wilson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2320 Concord Rd, Lafayette, IN 47909 Phone: 765-477-7436 Fax: 765-477-1245 | |
Dr. Don R Jaffe, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-838-5842 Fax: 765-838-4771 | |
Dr. Kyle D. Loy, M.D. P.C. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2606 Veterans Memorial Pkwy S, Suite 1, Lafayette, IN 47909 Phone: 765-474-4500 Fax: 765-474-1122 | |
Thomas Francis Brennan, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7625 | |
Aaron Joel Duberstein, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2320 Concord Rd, Lafayette, IN 47909 Phone: 765-477-7436 Fax: 765-477-1245 |