Josiah Ethan Zachary, MD | |
415 W Columbia St Ste 110, Evansville, IN 47710-1656 | |
(812) 450-3363 | |
(812) 450-3071 |
Full Name | Josiah Ethan Zachary |
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Gender | Male |
Speciality | Family Medicine |
Location | 415 W Columbia St Ste 110, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336757152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11021404A (Indiana) | Primary |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891941688 PECOS PAC ID: 3375610116 Enrollment ID: O20081017000259 |
Mailing Address | Practice Location Address |
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Josiah Ethan Zachary, MD 415 W Columbia St Ste 110, Evansville, IN 47710-1656 Ph: (812) 450-3363 | Josiah Ethan Zachary, MD 415 W Columbia St Ste 110, Evansville, IN 47710-1656 Ph: (812) 450-3363 |
Dr. Eric Brackett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Saint Marys Dr, Evansville, IN 47714 Phone: 812-485-5858 | |
Mason M Plater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 415 W Columbia St Ste 110, Evansville, IN 47710 Phone: 181-245-0606 | |
John T Gallagher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Saint Marys Dr # 300, Evansville, IN 47714 Phone: 812-485-5300 | |
Dr. Scott M Cordts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 W Columbia St, Ste 110, Evansville, IN 47710 Phone: 812-450-3363 Fax: 812-450-3071 | |
Dr. Janet Marie Kelley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Bellemeade Ave Ste 200b, Evansville, IN 47714 Phone: 812-485-3737 | |
Natasha Elizabeth Mathew, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 415 W Columbia St Ste 110, Evansville, IN 47710 Phone: 812-450-3363 Fax: 812-450-3071 | |
Clark Hollingshead, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 W Columbia St Ste 110, Evansville, IN 47710 Phone: 812-450-3363 |