Mr Douglas John Ladika, PA-C is a medicare enrolled "Physician Assistant - Medical" in Thorntown, Indiana. His current practice location is
151 E Bow St, Thorntown, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 436-2400.
Mr Douglas John Ladika is licensed to practice in Indiana (license number 10000987A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104076769.
Provider's Profile
Full Name | Mr Douglas John Ladika |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 151 E Bow St, Thorntown, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104076769
- Provider Enumeration Date: 09/19/2008
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234032863
- Enrollment ID: I20110803000140
Medical Identifiers
Medical identifiers for Mr Douglas John Ladika such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104076769 | NPI | - | NPPES |
300004507 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 10000987A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas John Ladika is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Douglas John Ladika, PA-C 2705 N Lebanon St Ste 305, Lebanon, IN 46052-8622 Ph: () - | Mr Douglas John Ladika, PA-C 151 E Bow St, Thorntown, IN 46071 Ph: (765) 436-2400 |
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