Agnes C Bacala, MD | |
12546 E Us Highway 50, Loogootee, IN 47553-5220 | |
(812) 295-5095 | |
(812) 295-9403 |
Full Name | Agnes C Bacala |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 42 Years |
Location | 12546 E Us Highway 50, Loogootee, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205891744 | NPI | - | NPPES |
P00711471 | Other | KY | RAILROAD MEDICARE - KY |
P00298628 | Other | IN | RAILROAD MEDICARE |
200072110 | Medicaid | IN | |
64130602 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 32413 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 01043434A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisville Geriatric Associates | 1557380086 | 9 |
Lifespring Inc | 5294624508 | 59 |
Entity Name | Lifespring Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040315000128 |
Entity Name | Louisville Geriatric Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922337617 PECOS PAC ID: 1557380086 Enrollment ID: O20080821000664 |
Mailing Address | Practice Location Address |
---|---|
Agnes C Bacala, MD Po Box 760, Washington, IN 47501-0760 Ph: (812) 254-2760 | Agnes C Bacala, MD 12546 E Us Highway 50, Loogootee, IN 47553-5220 Ph: (812) 295-5095 |
Mrs. Priya Susan Alex, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 105 Cooper St, Loogootee, IN 47553 Phone: 812-295-2812 Fax: 812-996-5426 | |
James P Poirier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Cooper St, Loogootee, IN 47553 Phone: 812-295-2812 Fax: 812-295-3726 | |
Megan Chloe Nonte, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 837 Bellbrook Rd, Loogootee, IN 47553 Phone: 812-486-6590 |