Tresa V Ratterman, MD | |
2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | |
(812) 280-6623 | |
(812) 666-7688 |
Full Name | Tresa V Ratterman |
---|---|
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 |
---|---|---|---|
1609831189 | NPI | - | NPPES |
1194546 | Other | KY | CHA / NCMA |
2528638-002 | Other | KY | CIGNA / NCMA |
100344080 | Medicaid | IN | |
64252653 | Medicaid | KY | |
00000065707 | Other | KY | ANTHEM / NCMA |
009023 | Other | KY | SIHO / NCMA |
000023031A | Other | KY | HUMANA / NCMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25265 (Kentucky) | Secondary |
208000000X | Pediatrics | 01038674A (Indiana) | Primary |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437382074 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
Entity Name | Norton Childrens Medical Group Llc |
---|---|
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 |
---|---|
Tresa V Ratterman, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Tresa V Ratterman, 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 | |
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 | |
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 |