Bloomington Meadows Physicians | |
3600 N Prow Rd Bloomington IN 47404-1616 | |
(812) 331-8000 | |
(812) 331-8985 |
Full Name | Bloomington Meadows Physicians |
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Speciality | Nurse Practitioner |
Location | 3600 N Prow Rd, Bloomington, Indiana |
Authorized Official Name and Position | Steve Filton (SR VP CFO) |
Authorized Official Contact | 6107683300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bloomington Meadows Physicians 3600 N Prow Rd Bloomington IN 47404-1616 Ph: (812) 331-8000 | Bloomington Meadows Physicians 3600 N Prow Rd Bloomington IN 47404-1616 Ph: (812) 331-8000 |
NPI Number | 1033298120 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 04/13/2015 |
Medicare PECOS PAC ID | 6002707494 |
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Medicare Enrollment ID | O20040324000255 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033298120 | NPI | - | NPPES |
060128000 | Other | IN | MAGELLAN |
107936 | Other | IN | ANTHEM |
200075480 | Medicaid | IN | |
2398043 | Other | OH | OHIO MEDICAID |
Provider Name | Arthur Lyakhovetsky |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124097142 PECOS PAC ID: 7113932351 Enrollment ID: I20060209000399 |
Provider Name | Joel H Griffith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194747618 PECOS PAC ID: 5890976096 Enrollment ID: I20110222000167 |
Provider Name | Alvin P Griffith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063434587 PECOS PAC ID: 1658552542 Enrollment ID: I20110225000118 |
Provider Name | Michael M Francis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366676371 PECOS PAC ID: 0345498242 Enrollment ID: I20120919000127 |
Provider Name | Grace Thomas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104860782 PECOS PAC ID: 6608048905 Enrollment ID: I20131120000265 |
Provider Name | Cyrus D Solhkhah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174710347 PECOS PAC ID: 0547249088 Enrollment ID: I20140114000743 |
Provider Name | Valerie N Markley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427441583 PECOS PAC ID: 6002134129 Enrollment ID: I20150421001032 |
Provider Name | Crystal Shirish Mehta |
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Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1972868313 PECOS PAC ID: 4688993934 Enrollment ID: I20150821014436 |
Provider Name | Morgan Amelia Mccormick |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487067286 PECOS PAC ID: 6901023944 Enrollment ID: I20151013000109 |
Provider Name | Linda Omalley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780748913 PECOS PAC ID: 5698078426 Enrollment ID: I20160128000118 |
Provider Name | Charles Jin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801966924 PECOS PAC ID: 1658329693 Enrollment ID: I20170331000484 |
Provider Name | Benjamin Strange Cooley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508245770 PECOS PAC ID: 5395066401 Enrollment ID: I20170727002877 |
Provider Name | Hillary L Davis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073961918 PECOS PAC ID: 1456642628 Enrollment ID: I20180824000951 |
Provider Name | Michelle C Mercier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134601552 PECOS PAC ID: 5294086385 Enrollment ID: I20181001000087 |
Provider Name | Hui Shi Serena Loh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396215786 PECOS PAC ID: 2365789419 Enrollment ID: I20190128000813 |
Provider Name | Kevin N. Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710479753 PECOS PAC ID: 8426395336 Enrollment ID: I20190131000872 |
Provider Name | Patrick R Mcguire |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932638988 PECOS PAC ID: 7911275532 Enrollment ID: I20190315000779 |
Provider Name | Jendayi L Olabisi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093178568 PECOS PAC ID: 1355624974 Enrollment ID: I20190604002842 |
Provider Name | Fransetta L Sterling |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306285556 PECOS PAC ID: 1254612633 Enrollment ID: I20190924001130 |
Provider Name | Eric Lyakhovetsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134780851 PECOS PAC ID: 4082944392 Enrollment ID: I20191001000285 |
Provider Name | Peter G Karalis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730686106 PECOS PAC ID: 6406101146 Enrollment ID: I20200518002996 |
Provider Name | Christine Hopp |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942739990 PECOS PAC ID: 3870861404 Enrollment ID: I20200518003060 |
Provider Name | Shilpa Puri |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013446061 PECOS PAC ID: 3476821091 Enrollment ID: I20200518003117 |
Provider Name | Randy Bargo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558970517 PECOS PAC ID: 4587074216 Enrollment ID: I20201106002260 |
Provider Name | Jessica Burnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346834652 PECOS PAC ID: 0042629206 Enrollment ID: I20210429002124 |
Provider Name | Kimberlie D Wells |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386104750 PECOS PAC ID: 8325371271 Enrollment ID: I20210714001034 |
Provider Name | Andrea Marie Patterson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336768191 PECOS PAC ID: 8820419146 Enrollment ID: I20210820000683 |
Provider Name | Sonja Marie Johnson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053931048 PECOS PAC ID: 1052733821 Enrollment ID: I20210915000274 |
Provider Name | Molly Renee Shankles Bullington |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346702313 PECOS PAC ID: 7810221843 Enrollment ID: I20211007000474 |
Provider Name | Kierra Y Hayes |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851825814 PECOS PAC ID: 7911231386 Enrollment ID: I20211027000362 |
Provider Name | Karri Woodard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447912423 PECOS PAC ID: 1355733593 Enrollment ID: I20220119002248 |
Provider Name | Gabriela Ales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407352313 PECOS PAC ID: 7810382421 Enrollment ID: I20220317002089 |
Provider Name | Joseph M Jackmovich |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992326987 PECOS PAC ID: 9234550690 Enrollment ID: I20220823001516 |
Provider Name | Sarah Franklin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114650868 PECOS PAC ID: 9931584661 Enrollment ID: I20220916001563 |
Provider Name | Alyssa Ciera Smith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598394736 PECOS PAC ID: 2567883309 Enrollment ID: I20220929000628 |
Provider Name | Marley Oles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275264814 PECOS PAC ID: 8123404696 Enrollment ID: I20221006001557 |
Provider Name | Shila Thapa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356062467 PECOS PAC ID: 8325416415 Enrollment ID: I20221121002770 |
Provider Name | Shanaz Judge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710695937 PECOS PAC ID: 2163892910 Enrollment ID: I20230112000857 |
Provider Name | Sarah J Fisher |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487661500 PECOS PAC ID: 8729074117 Enrollment ID: I20230419000754 |
Provider Name | Eric Carl Swanson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669092771 PECOS PAC ID: 8022430339 Enrollment ID: I20230518000162 |
Provider Name | Chad R Percifield |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629569140 PECOS PAC ID: 4880941178 Enrollment ID: I20230628000288 |
Provider Name | Matthew Clardy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962282509 PECOS PAC ID: 3375999865 Enrollment ID: I20231019000580 |
Provider Name | Rachel Payne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619650215 PECOS PAC ID: 8426406455 Enrollment ID: I20231130002496 |
Dr. Katy Kopp Miller, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 7th St Ste 108, Bloomington, IN 47404 Phone: 765-425-3412 | |
Diane Menke Pence, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave, Ste 613, Bloomington, IN 47404 Phone: 812-333-3440 Fax: 812-333-3444 | |
Huts Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 E Plateau Place, Bloomington, IN 47401 Phone: 804-386-9216 Fax: 804-464-1483 | |
Angela R Marshall Psyd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Vernal Pike, Bloomington, IN 47404 Phone: 812-345-5114 Fax: 812-339-0369 | |
New Outlook Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 N Stone Mill Rd, Suite B, Bloomington, IN 47408 Phone: 812-929-2193 Fax: 888-789-8394 | |
Leah Sinn Iversen Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 518 N Colony Ct, Bloomington, IN 47408 Phone: 812-320-2017 |