Leigh Ann Nieto, MD | |
2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | |
(812) 280-6623 | |
(812) 280-6632 |
Full Name | Leigh Ann Nieto |
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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 |
---|---|---|---|
1740643824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01080796A (Indiana) | Primary |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326695255 PECOS PAC ID: 3779917596 Enrollment ID: O20200309001084 |
Mailing Address | Practice Location Address |
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Leigh Ann Nieto, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Leigh Ann Nieto, 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 | |
Jill S Howell-berg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 |