Lance Trautman, CAA | |
85 E Us Highway 6, Valparaiso, IN 46383-8947 | |
(219) 983-8300 | |
Not Available |
Full Name | Lance Trautman |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 85 E Us Highway 6, Valparaiso, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871224923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 210-17 (Wisconsin) | Secondary |
367H00000X | Anesthesiologist Assistant | 75000111A (Indiana) | Primary |
Entity Name | Porter County Anesthesia Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215974936 PECOS PAC ID: 4789573411 Enrollment ID: O20040311001120 |
Mailing Address | Practice Location Address |
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Lance Trautman, CAA N56w29316 County Road K, Hartland, WI 53029-1102 Ph: (414) 690-3521 | Lance Trautman, CAA 85 E Us Highway 6, Valparaiso, IN 46383-8947 Ph: (219) 983-8300 |
Izabelle Kamiel Mccann, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-5743 Fax: 219-983-5994 | |
Ariba Chaudhary, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-989-8300 | |
Simmi Kayamali Bharvani, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 |