| Thomas Li Consulting Llc | |
|
427 Main St Ste 210 Lafayette IN 47901-1369 | |
| (765) 404-8099 | |
| Not Available |
| Full Name | Thomas Li Consulting Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 427 Main St Ste 210, Lafayette, Indiana |
| Authorized Official Name and Position | John Martin Thomas (CEO) |
| Authorized Official Contact | 7654048099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Li Consulting Llc 427 Main St Ste 210 Lafayette IN 47901-1369 Ph: (765) 404-8099 | Thomas Li Consulting Llc 427 Main St Ste 210 Lafayette IN 47901-1369 Ph: (765) 404-8099 |
| NPI Number | 1013689512 |
|---|---|
| Provider Enumeration Date | 10/02/2021 |
| Last Update Date | 10/02/2021 |
| Medicare PECOS PAC ID | 0143619908 |
|---|---|
| Medicare Enrollment ID | O20211116002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013689512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor D Bentinganan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306814538 PECOS PAC ID: 0042268724 Enrollment ID: I20050110000538 |
| Provider Name | Cynthia L Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700876562 PECOS PAC ID: 3072543206 Enrollment ID: I20050817000870 |
| Provider Name | William Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639148349 PECOS PAC ID: 3476621889 Enrollment ID: I20081010000710 |
| Provider Name | John M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336108034 PECOS PAC ID: 3375640519 Enrollment ID: I20081202000034 |
| Provider Name | Winona B Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485038 PECOS PAC ID: 1557605136 Enrollment ID: I20181208000393 |
| Provider Name | Jana Suzanne Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306488978 PECOS PAC ID: 9830518034 Enrollment ID: I20201007000520 |
| Provider Name | Kalyn R Synesael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689219354 PECOS PAC ID: 6507278967 Enrollment ID: I20201209002068 |
| Provider Name | Ashley Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407593171 PECOS PAC ID: 8123406105 Enrollment ID: I20220602002981 |
| Provider Name | Cara Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720707375 PECOS PAC ID: 9133583578 Enrollment ID: I20230918003813 |
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