Jill S Howell-berg, MD | |
2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | |
(812) 280-6623 | |
(812) 666-7688 |
Full Name | Jill S Howell-berg |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2051 Clevidence Blvd Ste C, Clarksville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700841210 | NPI | - | NPPES |
023379 | Other | KY | SIHO / NCMA |
7100469040 | Medicaid | KY | |
IN4465039 | Other | IN | MEDICARE |
200442770 | Medicaid | IN | |
000023031N | Other | KY | HUMANA / NCMA |
1198868 | Other | KY | CHA / NCMA |
K266460 | Other | KY | MEDICARE |
000000299274 | Other | KY | ANTHEM / NCMA |
6957640 | Other | KY | CIGNA / NCMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 36034 (Kentucky) | Secondary |
208000000X | Pediatrics | 01058138A (Indiana) | Primary |
Entity Name | Norton Childrens Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Jill S Howell-berg, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Jill S Howell-berg, MD 2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 Ph: (812) 280-6623 |
Megan Elizabeth Psiones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 | |
Sally Jane Wheeler, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-280-6627 | |
Jenna Nicole Sanders, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-280-6627 | |
Patricia A Morgan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 | |
Tresa V Ratterman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 | |
Leigh Ann Nieto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-280-6632 |