Derek Walton, CRNA | |
2600 Greenbush St, Lafayette, IN 47904-2477 | |
(765) 448-8000 | |
(765) 838-5150 |
Full Name | Derek Walton |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 2600 Greenbush 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 |
---|---|---|---|
1225581226 | NPI | - | NPPES |
000001069136 | Other | IN | ANTHEM PROVIDER NUMBER |
201411960 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28184479A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Amsurg Indianapolis Anesthesia Llc | 7618291550 | 8 |
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 |
Entity Name | Amsurg Indianapolis Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487056388 PECOS PAC ID: 7618291550 Enrollment ID: O20150123000689 |
Mailing Address | Practice Location Address |
---|---|
Derek Walton, CRNA Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Derek Walton, CRNA 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
Alexa Sharon Brenneman, CPNP-PC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4050 Britt Farm Dr, Lafayette, IN 47905 Phone: 765-325-7012 | |
Nancy L Harner, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905 Phone: 765-447-4165 Fax: 765-447-6978 | |
Amy Elizabeth Manahan, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Emily Ann Fusiek, BSN, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Ms. Jodi Lynn Briggs, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-418-6766 | |
Brian Arwood, PMHNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 709 S 18th St, Lafayette, IN 47905 Phone: 765-460-8860 | |
Caitlyn Mariel Smallwood, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 3738 Landmark Dr Ste A, Lafayette, IN 47905 Phone: 765-807-2780 |