Stuart L Isaacson, DO | |
1400 W State St Ste C, West Lafayette, IN 47906-3438 | |
(765) 494-0111 | |
(765) 496-6656 |
Full Name | Stuart L Isaacson |
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Gender | Male |
Speciality | Family Medicine |
Location | 1400 W State St Ste C, West 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 |
---|---|---|---|
1710007398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 46310 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 02005007A (Indiana) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Moundview Memorial Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
Mailing Address | Practice Location Address |
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Stuart L Isaacson, DO 1400 West State Street, Bldg B, Suite C, West Lafayette, IN 47907 Ph: (765) 494-0111 | Stuart L Isaacson, DO 1400 W State St Ste C, West Lafayette, IN 47906-3438 Ph: (765) 494-0111 |
Gerald N Maesaka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 | |
Andrew Keith Edwards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 | |
Dr. Timothy B O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906 Phone: 765-204-1122 Fax: 765-205-8322 | |
Scott Carrington, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2424 Fax: 765-463-2249 | |
Leonia Scott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 N Grant St, West Lafayette, IN 47906 Phone: 317-201-4566 | |
Jerrod Edward Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6262 Fax: 765-463-9122 | |
Kishan B Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023 |