Tamzin A Rosenwasser, | |
1500 Salem St, Lafayette, IN 47904-2164 | |
(765) 448-8000 | |
Not Available |
Full Name | Tamzin A Rosenwasser |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 1500 Salem 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 |
---|---|---|---|
1720017361 | NPI | - | NPPES |
200830950 | Medicaid | IN | |
9294464 | Other | IN | PHCS PID NUMBER |
000000487140 | Other | IN | ANTHEM PROVIDER NUMBER |
HQ199Z | Other | FL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME71744 (Florida) | Secondary |
207N00000X | Dermatology | 01057228A (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 |
---|---|
Tamzin A Rosenwasser, 4411 Bee Ridge Road, Pmb 309, Sarasota, FL 34233-5545 Ph: (941) 926-6553 | Tamzin A Rosenwasser, 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 | |
Raymond Kuwahara, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8335 | |
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 |