Stuart Devaul, MD | |
5111 Clinton Dr, Kokomo, IN 46902-7136 | |
(765) 453-8800 | |
(765) 453-8813 |
Full Name | Stuart Devaul |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5111 Clinton Dr, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255414843 | NPI | - | NPPES |
200075150E | Medicaid | IN | |
000000525514 | Other | IN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01042975 (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01042975A (Indiana) | Primary |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Mailing Address | Practice Location Address |
---|---|
Stuart Devaul, MD 5111 Clinton Dr, Kokomo, IN 46902-7136 Ph: (765) 453-8800 | Stuart Devaul, MD 5111 Clinton Dr, Kokomo, IN 46902-7136 Ph: (765) 453-8800 |
Aaron P Kalinowski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 Fax: 765-400-4467 | |
Mrs. Lynn T Coy, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 317-802-3139 | |
Richard Hehner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3505 S Reed Rd, Kokomo, IN 46902 Phone: 765-453-8666 | |
Sukhdev Dhindsa, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-870-0490 Fax: 317-870-0499 | |
Alex Gutierrez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-452-5611 | |
Paula Wilham, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8346 | |
Louis Hahn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-870-0490 Fax: 317-870-0499 |