Dr Mark Alan Manning, DNP | |
124 Sagamore Pkwy West, West Lafayette, IN 47906 | |
(765) 463-6722 | |
(765) 463-0905 |
Full Name | Dr Mark Alan Manning |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 124 Sagamore Pkwy West, West 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 |
---|---|---|---|
1699171215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60520310 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Randall Dermatology, Pc | 3678675329 | 10 |
Entity Name | Randall Dermatology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245340488 PECOS PAC ID: 3678675329 Enrollment ID: O20070227000078 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Alan Manning, DNP 124 Sagamore Pkwy West, West Lafayette, IN 47906 Ph: (765) 463-6722 | Dr Mark Alan Manning, DNP 124 Sagamore Pkwy West, West Lafayette, IN 47906 Ph: (765) 463-6722 |
Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227 | |
Mrs. Ashley Nicole Hogan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 317-207-7413 | |
Gayle Doll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551 | |
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 | |
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040 |