Brett A Henrikson (NPI# 1063629988, PAC ID# 8022088020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1063629988 |
| PAC ID by PECOS | 8022088020 |
| Professional Enrollment ID | I20040728000214 |
| Full Name | Brett A Henrikson |
| Organization Legal Name | LAFAYETTE ORAL AND MAXILLOFACIAL SURGERY GROUP, P.C. |
| Address |
953 Park E Blvd A Lafayette IN 47905-0792 |
| Phone Number | 7658070230 |
| Gender | M |
| Credential | DDS |
| Medical School | INDIANA UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 1999 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 3678543667 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150173 | INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 953 Park E Blvd A, Lafayette, IN 47905-0792 | 7658070230 | LAFAYETTE ORAL AND MAXILLOFACIAL SURGERY GROUP, P.C. |
| Organization Legal Name | LAFAYETTE ORAL AND MAXILLOFACIAL SURGERY GROUP, P.C. |
| Physicians | 1 |
| Street Address |
953 PARK E BLVD A |
| City | LAFAYETTE |
| State | IN |
| Zip | 47905-0792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Olaniyi O Osuntokun | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Find all physicians in zip 47905 | |||
| City | LAFAYETTE |
| Zip Code | 47905 |
| Specialty | ORAL SURGERY |
| City + Specialty | LAFAYETTE + ORAL SURGERY |
Please comment or provide details below to improve the information on Brett A Henrikson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.