Dr Catherine Sheila Jackson-evans, MD, FACOG | |
8865 W 400 N, Suite 130, Michigan City, IN 46360-9222 | |
(219) 879-5143 | |
Not Available |
Full Name | Dr Catherine Sheila Jackson-evans |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 8865 W 400 N, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598862690 | NPI | - | NPPES |
201160860 | Medicaid | IN | |
00919652A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2017-01003 (North Carolina) | Primary |
207V00000X | Obstetrics & Gynecology | 050188 (Georgia) | Secondary |
Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Moses Cone Affiliated Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346474103 PECOS PAC ID: 3779635396 Enrollment ID: O20090713000512 |
Mailing Address | Practice Location Address |
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Dr Catherine Sheila Jackson-evans, MD, FACOG 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 Ph: (317) 528-4837 | Dr Catherine Sheila Jackson-evans, MD, FACOG 8865 W 400 N, Suite 130, Michigan City, IN 46360-9222 Ph: (219) 879-5143 |
Dr. Sharmilee Thota, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 300, Michigan City, IN 46360 Phone: 219-879-6531 Fax: 219-878-8831 | |
James W Jensen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 115 Beverly Ct, Michigan City, IN 46360 Phone: 219-331-6117 | |
Dr. Malathi Seshadri, M.D Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3723 Franklin St, Michigan City, IN 46360 Phone: 219-874-3313 Fax: 219-872-2425 | |
Valentin Florinel Drezaliu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 300, Michigan City, IN 46360 Phone: 219-861-8785 Fax: 219-861-8789 | |
Timothy A Delehanty, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3501 Iroquois Trl, Michigan City, IN 46360 Phone: 219-879-4374 | |
Stephanos Rizos, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 300, Michigan City, IN 46360 Phone: 219-861-8785 Fax: 219-861-8789 |