Brentwood Meadows Physician Group Llc - Medicare Mental Health Clinic in Newburgh, IN

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Brentwood Meadows Physician Group Llc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Newburgh, Indiana. The current practice location for Brentwood Meadows Physician Group Llc is 4488 Roslin Rd, Newburgh, Indiana. For appointments, you can reach them via phone at (812) 858-7200. The mailing address for Brentwood Meadows Physician Group Llc is 4488 Roslin Rd, Newburgh, Indiana and phone number is (812) 858-7200.

Brentwood Meadows Physician Group Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528479029. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 858-7200.

Contact Information

Brentwood Meadows Physician Group Llc
4488 Roslin Rd
Newburgh
IN 47630-8590
(812) 858-7200
(812) 842-0086

Map and Direction


Mental Health Clinic Profile

Full NameBrentwood Meadows Physician Group Llc
SpecialityPsychiatry & Neurology
Location4488 Roslin Rd, Newburgh, Indiana
Authorized Official Name and PositionGlenn D Bell (CEO)
Authorized Official Contact8128587200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brentwood Meadows Physician Group Llc
4488 Roslin Rd
Newburgh
IN 47630-8590

Ph: (812) 858-7200		Brentwood Meadows Physician Group Llc
4488 Roslin Rd
Newburgh
IN 47630-8590

Ph: (812) 858-7200

NPI Details:

NPI Number1528479029
Provider Enumeration Date05/19/2014
Last Update Date10/23/2014

Medicare PECOS Information:

Medicare PECOS PAC ID9830412956
Medicare Enrollment IDO20141222001827

Medical Identifiers

Medical identifiers for Brentwood Meadows Physician Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528479029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Brentwood Meadows Physician Group Llc acts as a billing entity for following providers:
Provider NameSamir Gamal Ishak
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1548257488
PECOS PAC ID: 4880655331
Enrollment ID: I20041019001023
Provider NameRamakrishna P Rao
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457397903
PECOS PAC ID: 7810959665
Enrollment ID: I20041103000326
Provider NameJennifer M Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528008893
PECOS PAC ID: 0244268043
Enrollment ID: I20050802001082
Provider NameDara Josiah-howze
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1063407278
PECOS PAC ID: 3577597699
Enrollment ID: I20050919000828
Provider NameNikki J Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831277573
PECOS PAC ID: 5092814343
Enrollment ID: I20070627000209
Provider NamePatricia B Morrison
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1780610303
PECOS PAC ID: 8123112943
Enrollment ID: I20070924000376
Provider NameHenry B Kaplan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1003983719
PECOS PAC ID: 2365526704
Enrollment ID: I20080225000494
Provider NameSarah E Parsons
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1124041686
PECOS PAC ID: 9739286923
Enrollment ID: I20091124000363
Provider NameSherri Mathies
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497060644
PECOS PAC ID: 1355538067
Enrollment ID: I20101207001086
Provider NameRobert D Patterson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1417092107
PECOS PAC ID: 0244369890
Enrollment ID: I20111116000332
Provider NameDiahann Meekins Moore
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1669707956
PECOS PAC ID: 3678611860
Enrollment ID: I20120619000445
Provider NameM Jeanette Kinman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528242187
PECOS PAC ID: 6103048343
Enrollment ID: I20141104000623
Provider NameJulie K Russell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144535030
PECOS PAC ID: 3173745403
Enrollment ID: I20141120001862
Provider NameRegina E Robison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316269871
PECOS PAC ID: 4880726231
Enrollment ID: I20141202000337
Provider NameAnna Philipose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740696467
PECOS PAC ID: 2961724844
Enrollment ID: I20141203002021
Provider NameDuke Fisher
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821044876
PECOS PAC ID: 1850618513
Enrollment ID: I20150318001278
Provider NameRachel Sinclair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811183544
PECOS PAC ID: 8022167824
Enrollment ID: I20150608002366
Provider NameTejas Patel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1780097386
PECOS PAC ID: 2769773472
Enrollment ID: I20160627001666
Provider NameOlivia D Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255888475
PECOS PAC ID: 5395033849
Enrollment ID: I20161017000400
Provider NameElizabeth A Taylor
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1770526618
PECOS PAC ID: 6103940333
Enrollment ID: I20161101002432
Provider NameKrista Thornberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710347059
PECOS PAC ID: 1052602158
Enrollment ID: I20170602002111
Provider NameXixi Wong
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174815997
PECOS PAC ID: 0648560607
Enrollment ID: I20170912001321
Provider NameCuneyt Tegin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265850234
PECOS PAC ID: 1456626530
Enrollment ID: I20170929002521
Provider NameMichael O Arisa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235360058
PECOS PAC ID: 8325280605
Enrollment ID: I20180212000019
Provider NameKenneth Richmond
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1184891277
PECOS PAC ID: 6608015342
Enrollment ID: I20180517001225
Provider NameVishal Viswam
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245670611
PECOS PAC ID: 8123320595
Enrollment ID: I20181207002201
Provider NameBrent A. Crane
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336469287
PECOS PAC ID: 9739336058
Enrollment ID: I20181217000442
Provider NameJacqueline Jones Toal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215488697
PECOS PAC ID: 8628358843
Enrollment ID: I20190405001521
Provider NameJoanna Wade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023482627
PECOS PAC ID: 3173826013
Enrollment ID: I20190604001957
Provider NameLusine Vardanyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700430006
PECOS PAC ID: 2961732847
Enrollment ID: I20190918002909
Provider NameMelissa Anne Maxwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518502319
PECOS PAC ID: 7517394083
Enrollment ID: I20200221001208
Provider NameGlen E Oriaifo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104271618
PECOS PAC ID: 4385938604
Enrollment ID: I20201009000770
Provider NameJessica L Schmitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215543087
PECOS PAC ID: 6305256397
Enrollment ID: I20201103000701
Provider NameSandra Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174148340
PECOS PAC ID: 7012337942
Enrollment ID: I20210308000854
Provider NameElaine Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518506898
PECOS PAC ID: 7214343276
Enrollment ID: I20210317001077
Provider NameLee T Weng
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902849102
PECOS PAC ID: 9739358094
Enrollment ID: I20210419002027
Provider NameMegan Kay Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184202590
PECOS PAC ID: 6608271051
Enrollment ID: I20210823002153
Provider NamePaul Capell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083288617
PECOS PAC ID: 4385049675
Enrollment ID: I20210825001134
Provider NameJennifer Lynn Ritz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609544907
PECOS PAC ID: 4486051018
Enrollment ID: I20210924001819
Provider NameJustin Lee Grose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225632110
PECOS PAC ID: 9739578105
Enrollment ID: I20211105002255
Provider NameHannah Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144972944
PECOS PAC ID: 0840685194
Enrollment ID: I20220323001256
Provider NameNicole Lynn Bradley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700519584
PECOS PAC ID: 5294118675
Enrollment ID: I20220817002818
Provider NamePhillip Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427404193
PECOS PAC ID: 7416243126
Enrollment ID: I20221024001231
Provider NameLacy Pippin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609659119
PECOS PAC ID: 8729433479
Enrollment ID: I20231016002006
Provider NameMargaret Ellen Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851176408
PECOS PAC ID: 2264888965
Enrollment ID: I20231101002836
Provider NameJordyn Leanne Brackett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548037534
PECOS PAC ID: 0345691713
Enrollment ID: I20240110001754
Provider NameBrittany Winona Plahn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255164562
PECOS PAC ID: 1759822182
Enrollment ID: I20240925001284
Provider NameJeremy Mabis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992531503
PECOS PAC ID: 1759812480
Enrollment ID: I20241004000744

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.