| Meridian Health Services Corp | |
|
240 N Tillotson Ave Muncie IN 47304-3988 | |
| (765) 288-1928 | |
| (765) 741-0340 |
| Full Name | Meridian Health Services Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 N Tillotson Ave, Muncie, Indiana |
| Authorized Official Name and Position | Scott Riggs (CFO) |
| Authorized Official Contact | 7652881928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Health Services Corp 240 N Tillotson Ave Muncie IN 47304-3988 Ph: (765) 288-1928 | Meridian Health Services Corp 240 N Tillotson Ave Muncie IN 47304-3988 Ph: (765) 288-1928 |
| NPI Number | 1992755490 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 06/14/2019 |
| Medicare PECOS PAC ID | 5597679845 |
|---|---|
| Medicare Enrollment ID | O20031119000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992755490 | NPI | - | NPPES |
| 100273590G | Medicaid | IN | |
| 100273590I | Medicaid | IN | |
| 100273590F | Medicaid | IN | |
| 100273590B | Medicaid | IA | |
| 100273590D | Medicaid | IN | |
| 100273590H | Medicaid | IN | |
| 300025118 | Medicaid | IN | |
| 100273590A | Medicaid | IN | |
| 100273590C | Medicaid | IN | |
| 200851630A | Medicaid | IN |
| Provider Name | Wa'el Bakdash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275552481 PECOS PAC ID: 8426941261 Enrollment ID: I20040205000145 |
| Provider Name | Gary J Garofolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558312751 PECOS PAC ID: 4082608559 Enrollment ID: I20040408001398 |
| Provider Name | Marla J Kinnaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356325484 PECOS PAC ID: 3678564903 Enrollment ID: I20040524001022 |
| Provider Name | Eric Jay Betts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336132679 PECOS PAC ID: 8224014261 Enrollment ID: I20040629000677 |
| Provider Name | Brenda K Pensinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134171879 PECOS PAC ID: 6800876954 Enrollment ID: I20040721000405 |
| Provider Name | Robert J Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063951 PECOS PAC ID: 0840270518 Enrollment ID: I20040722001174 |
| Provider Name | Joni E Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679571970 PECOS PAC ID: 3971562497 Enrollment ID: I20041008000700 |
| Provider Name | Ann S Holzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215988233 PECOS PAC ID: 0749243574 Enrollment ID: I20041111000603 |
| Provider Name | Anita Pairitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851376230 PECOS PAC ID: 8325092703 Enrollment ID: I20050309000130 |
| Provider Name | Mark A Haggenjos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619935475 PECOS PAC ID: 9739128885 Enrollment ID: I20050427001316 |
| Provider Name | Merrill B Mckinley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356392328 PECOS PAC ID: 9931141371 Enrollment ID: I20050525001380 |
| Provider Name | Connie K Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902857550 PECOS PAC ID: 6002858255 Enrollment ID: I20050526000931 |
| Provider Name | Barbara L Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265485510 PECOS PAC ID: 0446292601 Enrollment ID: I20050526001064 |
| Provider Name | Ajanta Goswami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407820392 PECOS PAC ID: 3870536493 Enrollment ID: I20050606000331 |
| Provider Name | Kirk D Perry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609840578 PECOS PAC ID: 5991740730 Enrollment ID: I20050622001195 |
| Provider Name | Mark W Brinker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164474656 PECOS PAC ID: 4486699139 Enrollment ID: I20050622001328 |
| Provider Name | Deann Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306081807 PECOS PAC ID: 3476589409 Enrollment ID: I20050712000289 |
| Provider Name | Mary C Donley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669467932 PECOS PAC ID: 5890722649 Enrollment ID: I20050722000587 |
| Provider Name | Abdulrazak Kedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194784603 PECOS PAC ID: 8527090190 Enrollment ID: I20050902000479 |
| Provider Name | Robert B Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437198686 PECOS PAC ID: 4486689189 Enrollment ID: I20050930000698 |
| Provider Name | Brenda Kaye Dearmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568433746 PECOS PAC ID: 1658399126 Enrollment ID: I20051103000769 |
| Provider Name | Tammy Lea Lightner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700854932 PECOS PAC ID: 1052331220 Enrollment ID: I20051202000154 |
| Provider Name | Lori J Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558335323 PECOS PAC ID: 3375647662 Enrollment ID: I20070326000441 |
| Provider Name | Catherine O Oplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821167073 PECOS PAC ID: 6305941782 Enrollment ID: I20070412000553 |
| Provider Name | Sarfraz Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316982309 PECOS PAC ID: 5890685143 Enrollment ID: I20070425000420 |
| Provider Name | Syed Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619909991 PECOS PAC ID: 6800782137 Enrollment ID: I20070619000008 |
| Provider Name | Jon M Hoversland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699822320 PECOS PAC ID: 0143320259 Enrollment ID: I20070702000574 |
| Provider Name | Rahila I Qazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659361483 PECOS PAC ID: 4183715972 Enrollment ID: I20070808000550 |
| Provider Name | Imtiaz M Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104803212 PECOS PAC ID: 4880789411 Enrollment ID: I20070927000605 |
| Provider Name | Donna M Skorupski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831187756 PECOS PAC ID: 2668557463 Enrollment ID: I20080304000360 |
| Provider Name | Nicole S Boersma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598981391 PECOS PAC ID: 1254416126 Enrollment ID: I20080318000019 |
| Provider Name | Patricia Ann Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326208588 PECOS PAC ID: 8022189604 Enrollment ID: I20080625000692 |
| Provider Name | Bonnie L Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902809361 PECOS PAC ID: 0244305589 Enrollment ID: I20080820000568 |
| Provider Name | Joyce Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629013677 PECOS PAC ID: 6204730047 Enrollment ID: I20081212000441 |
| Provider Name | Kristy J Hadfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093900193 PECOS PAC ID: 5294884342 Enrollment ID: I20090519000598 |
| Provider Name | Abdul Subhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376717744 PECOS PAC ID: 1153468988 Enrollment ID: I20091027000319 |
| Provider Name | William Manship |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932394749 PECOS PAC ID: 7719024454 Enrollment ID: I20091028000573 |
| Provider Name | Debra K Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073842563 PECOS PAC ID: 2769525526 Enrollment ID: I20100203000027 |
| Provider Name | Lisa K Riggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891027736 PECOS PAC ID: 6800922691 Enrollment ID: I20100331000685 |
| Provider Name | Emily Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104001387 PECOS PAC ID: 6800925538 Enrollment ID: I20100518000840 |
| Provider Name | Yadagiri Reddy Jonna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083655427 PECOS PAC ID: 4688707284 Enrollment ID: I20100803000869 |
| Provider Name | Carol J Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831139666 PECOS PAC ID: 9436283116 Enrollment ID: I20100817000716 |
| Provider Name | Daniel Stewart Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306049358 PECOS PAC ID: 2961536222 Enrollment ID: I20100823000590 |
| Provider Name | Tarek Kteleh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932220035 PECOS PAC ID: 2365513611 Enrollment ID: I20100827000768 |
| Provider Name | Denise S Reeves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699733519 PECOS PAC ID: 7719906783 Enrollment ID: I20100921001053 |
| Provider Name | Pekkakuzhiyil M Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578507539 PECOS PAC ID: 6901015361 Enrollment ID: I20101109000077 |
| Provider Name | Catherine A Marsteller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629286141 PECOS PAC ID: 7618062704 Enrollment ID: I20101118000411 |
| Provider Name | Scott Marsteller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891714937 PECOS PAC ID: 0749298255 Enrollment ID: I20101124000756 |
| Provider Name | Laura E Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346541786 PECOS PAC ID: 0244428464 Enrollment ID: I20110103000438 |
| Provider Name | Adrienne Bedford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134398183 PECOS PAC ID: 1456531607 Enrollment ID: I20110207000057 |
| Provider Name | Cynthia Branham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336442391 PECOS PAC ID: 4385825710 Enrollment ID: I20110218000065 |
| Provider Name | Karen C Lafrance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154469450 PECOS PAC ID: 4880875871 Enrollment ID: I20110224000009 |
| Provider Name | Alyssa A Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285869206 PECOS PAC ID: 4789860818 Enrollment ID: I20110525000336 |
| Provider Name | Pamela S Laughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336443670 PECOS PAC ID: 9537338124 Enrollment ID: I20110817000157 |
| Provider Name | Zulfiqar Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336276823 PECOS PAC ID: 9830360262 Enrollment ID: I20110915000454 |
| Provider Name | Cheryl L Riwitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710262308 PECOS PAC ID: 5092988063 Enrollment ID: I20111108000352 |
| Provider Name | Melinda C Wallpe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326323692 PECOS PAC ID: 6800060740 Enrollment ID: I20111110000853 |
| Provider Name | Jessica R Hamlyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205906922 PECOS PAC ID: 8729254545 Enrollment ID: I20111229000032 |
| Provider Name | Husameddin Rawhi El-bakri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851660955 PECOS PAC ID: 0547421224 Enrollment ID: I20120406000168 |
| Provider Name | Douglas M Hemmerling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023344413 PECOS PAC ID: 3678735610 Enrollment ID: I20120508000695 |
| Provider Name | Karen S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386844579 PECOS PAC ID: 7416119300 Enrollment ID: I20120511000016 |
| Provider Name | Rae Marie Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649538562 PECOS PAC ID: 5597928465 Enrollment ID: I20120514000364 |
| Provider Name | Amanda R Mckinley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669667481 PECOS PAC ID: 6204099260 Enrollment ID: I20120531000570 |
| Provider Name | Meghana G Bhat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427212398 PECOS PAC ID: 2062676273 Enrollment ID: I20120619000164 |
| Provider Name | Constance M Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467714238 PECOS PAC ID: 9537324272 Enrollment ID: I20120703000490 |
| Provider Name | Chris A Pflum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649529348 PECOS PAC ID: 2264684810 Enrollment ID: I20121206000482 |
| Provider Name | Raid Daas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396075487 PECOS PAC ID: 1052556875 Enrollment ID: I20130327000580 |
| Provider Name | Sadia Abbasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740570423 PECOS PAC ID: 2264676261 Enrollment ID: I20130912000575 |
| Provider Name | Desma D Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477994291 PECOS PAC ID: 1153557392 Enrollment ID: I20131119000132 |
| Provider Name | Jamie L Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588955355 PECOS PAC ID: 3870722077 Enrollment ID: I20140211000852 |
| Provider Name | Angela E Parsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487084919 PECOS PAC ID: 7911136833 Enrollment ID: I20140218001077 |
| Provider Name | Katie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467647628 PECOS PAC ID: 4082844410 Enrollment ID: I20140305001113 |
| Provider Name | Melinda Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104188754 PECOS PAC ID: 1759514201 Enrollment ID: I20140507001656 |
| Provider Name | Bianca M Maya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871873711 PECOS PAC ID: 8325262272 Enrollment ID: I20140616000259 |
| Provider Name | Arzu Karaman Gonulalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184903981 PECOS PAC ID: 5597980821 Enrollment ID: I20140630001822 |
| Provider Name | Tracy M Laux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730509605 PECOS PAC ID: 8921223918 Enrollment ID: I20140708000175 |
| Provider Name | Pu Cheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063739670 PECOS PAC ID: 2365667185 Enrollment ID: I20140710000571 |
| Provider Name | Abdul Naseer Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962782805 PECOS PAC ID: 0648496612 Enrollment ID: I20140728001901 |
| Provider Name | Jacob W Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902212582 PECOS PAC ID: 7012134695 Enrollment ID: I20140805001145 |
| Provider Name | Anita L Misson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710290374 PECOS PAC ID: 8123248648 Enrollment ID: I20141006001224 |
| Provider Name | Kelle M Zeabart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902229222 PECOS PAC ID: 9931329455 Enrollment ID: I20141006001269 |
| Provider Name | Bobbi J Siccardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386084556 PECOS PAC ID: 4385887819 Enrollment ID: I20141121000422 |
| Provider Name | Denise K Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447546866 PECOS PAC ID: 6608199666 Enrollment ID: I20141223001113 |
| Provider Name | Jada Svoboda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225416571 PECOS PAC ID: 1658691530 Enrollment ID: I20150515001279 |
| Provider Name | Angela Lowry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336429661 PECOS PAC ID: 9032439997 Enrollment ID: I20150518001611 |
| Provider Name | Austin Finklea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376835926 PECOS PAC ID: 5799098513 Enrollment ID: I20150722003916 |
| Provider Name | Shelley Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770969339 PECOS PAC ID: 3274840988 Enrollment ID: I20150914000377 |
| Provider Name | Morgan Amelia Mccormick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487067286 PECOS PAC ID: 6901023944 Enrollment ID: I20151013000109 |
| Provider Name | Kenelle Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497044390 PECOS PAC ID: 5496044711 Enrollment ID: I20160510000884 |
| Provider Name | Maleeha Khalid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841545282 PECOS PAC ID: 7810286556 Enrollment ID: I20160518002406 |
| Provider Name | Connie Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417242355 PECOS PAC ID: 6709176993 Enrollment ID: I20160531001369 |
| Provider Name | Monica B Buche' |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285686329 PECOS PAC ID: 7012295561 Enrollment ID: I20161103001035 |
| Provider Name | Anthony J Damore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407146004 PECOS PAC ID: 7911287651 Enrollment ID: I20161214002578 |
| Provider Name | Kimberly D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780056481 PECOS PAC ID: 1557642030 Enrollment ID: I20161220002310 |
| Provider Name | Anne E. Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336694736 PECOS PAC ID: 5395028773 Enrollment ID: I20170209000080 |
| Provider Name | Jessica A Rench |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366638686 PECOS PAC ID: 7012291974 Enrollment ID: I20170221002922 |
| Provider Name | Jeremiah W Bwatwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447485370 PECOS PAC ID: 6608150560 Enrollment ID: I20170222000200 |
| Provider Name | Amy Lynn Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518272582 PECOS PAC ID: 7719261502 Enrollment ID: I20170222001255 |
| Provider Name | Robert Wallace Byrn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700838307 PECOS PAC ID: 2365726940 Enrollment ID: I20170227000892 |
| Provider Name | Breanne Elisabeth Pascoe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336445162 PECOS PAC ID: 9133403405 Enrollment ID: I20170306000701 |
| Provider Name | Catherine Jarvis Seitz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841348398 PECOS PAC ID: 9931483161 Enrollment ID: I20170307000515 |
| Provider Name | Danielle Dues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912242504 PECOS PAC ID: 2163706250 Enrollment ID: I20170309002259 |
| Provider Name | Jacqueline Ann Simmons |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831247477 PECOS PAC ID: 8820373897 Enrollment ID: I20170315000481 |
| Provider Name | Michelle G Ashcraft |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427424142 PECOS PAC ID: 4880979426 Enrollment ID: I20170323000240 |
| Provider Name | Kelli Lynn Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861540635 PECOS PAC ID: 9133405939 Enrollment ID: I20170410002304 |
| Provider Name | Makenzie Lindauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700331725 PECOS PAC ID: 0648556050 Enrollment ID: I20170420000792 |
| Provider Name | Diana Lightfoot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568838613 PECOS PAC ID: 0648556993 Enrollment ID: I20170420002672 |
| Provider Name | Lori Sue Fishburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544584 PECOS PAC ID: 5092092759 Enrollment ID: I20170505000492 |
| Provider Name | Stacy L Halcomb-brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497293377 PECOS PAC ID: 5092082909 Enrollment ID: I20170525000241 |
| Provider Name | Sarahanne Pelkey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386172328 PECOS PAC ID: 9638447659 Enrollment ID: I20170616000059 |
| Provider Name | Amy Greenfield Abuasabeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260782 PECOS PAC ID: 4284907312 Enrollment ID: I20170912000136 |
| Provider Name | Matthew T Sieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871018119 PECOS PAC ID: 0042584807 Enrollment ID: I20170919000416 |
| Provider Name | Eunice A Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345420 PECOS PAC ID: 2961769039 Enrollment ID: I20171127003269 |
| Provider Name | Marcia L Cantrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164530648 PECOS PAC ID: 5092073304 Enrollment ID: I20171214001145 |
| Provider Name | Aminata Cisse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699031203 PECOS PAC ID: 7214221159 Enrollment ID: I20180207000227 |
| Provider Name | Mandy Jean Boeckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124520069 PECOS PAC ID: 1456341957 Enrollment ID: I20180412001281 |
| Provider Name | Tammy L Ralstin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316444680 PECOS PAC ID: 3971867987 Enrollment ID: I20180427001015 |
| Provider Name | Helen Jane Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700955465 PECOS PAC ID: 8123382728 Enrollment ID: I20180508000296 |
| Provider Name | Tonia R Childers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609245133 PECOS PAC ID: 6406110923 Enrollment ID: I20180510000104 |
| Provider Name | Ayodeji I Ogunleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629485107 PECOS PAC ID: 0345504767 Enrollment ID: I20180510000470 |
| Provider Name | Rhonda J Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841580875 PECOS PAC ID: 2860639960 Enrollment ID: I20180516000352 |
| Provider Name | Cheryl L Turner-romans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669960845 PECOS PAC ID: 4486919362 Enrollment ID: I20180523002926 |
| Provider Name | Robin Morford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114414497 PECOS PAC ID: 2567718471 Enrollment ID: I20180709000504 |
| Provider Name | Joel D Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053761460 PECOS PAC ID: 8527315522 Enrollment ID: I20180723001444 |
| Provider Name | Aparna Jha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982866752 PECOS PAC ID: 8820213143 Enrollment ID: I20180827002731 |
| Provider Name | Michelle C Mercier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134601552 PECOS PAC ID: 5294086385 Enrollment ID: I20181001000087 |
| Provider Name | Kathryn Joann Campbell Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508355173 PECOS PAC ID: 0042562027 Enrollment ID: I20181003001656 |
| Provider Name | Dianna Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851803456 PECOS PAC ID: 4183978323 Enrollment ID: I20181107000734 |
| Provider Name | Morgan B Reeve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891240081 PECOS PAC ID: 6002160702 Enrollment ID: I20181115002396 |
| Provider Name | Melissa L Denney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588147755 PECOS PAC ID: 7113271743 Enrollment ID: I20181116001043 |
| Provider Name | Lisa Marcella Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336643410 PECOS PAC ID: 9830445469 Enrollment ID: I20181120002401 |
| Provider Name | Regina Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447731302 PECOS PAC ID: 6305181553 Enrollment ID: I20181217003007 |
| Provider Name | Rachel Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871060459 PECOS PAC ID: 5193061521 Enrollment ID: I20190107001173 |
| Provider Name | Kiley Kristine Mattox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841775277 PECOS PAC ID: 5193061711 Enrollment ID: I20190117002815 |
| Provider Name | Patricia L Sutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609395425 PECOS PAC ID: 6608142369 Enrollment ID: I20190121000755 |
| Provider Name | Verretta C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827511 PECOS PAC ID: 6103120100 Enrollment ID: I20190125002309 |
| Provider Name | Kristena M Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649737107 PECOS PAC ID: 6709126352 Enrollment ID: I20190319001845 |
| Provider Name | Barbara Lee Strasburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699767640 PECOS PAC ID: 9830336320 Enrollment ID: I20190610001999 |
| Provider Name | Cynthia Rose Branson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982167706 PECOS PAC ID: 9638407463 Enrollment ID: I20190819000369 |
| Provider Name | Ramiz Musa Saeed Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194278507 PECOS PAC ID: 9032440524 Enrollment ID: I20191015000986 |
| Provider Name | Wen-chou Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033405626 PECOS PAC ID: 9537385315 Enrollment ID: I20191120001444 |
| Provider Name | Gary A Palicka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245559327 PECOS PAC ID: 3173826773 Enrollment ID: I20200103000975 |
| Provider Name | Noreen Donnelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598189573 PECOS PAC ID: 3779918388 Enrollment ID: I20200108001639 |
| Provider Name | Mary Kristin Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722125 PECOS PAC ID: 3678909355 Enrollment ID: I20200129001857 |
| Provider Name | Fred Edward Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912292087 PECOS PAC ID: 4688001407 Enrollment ID: I20200217002251 |
| Provider Name | Amy Huelsenbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003825563 PECOS PAC ID: 8022014323 Enrollment ID: I20200309002412 |
| Provider Name | Megan A Welker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396196556 PECOS PAC ID: 0648531764 Enrollment ID: I20200311001638 |
| Provider Name | Rachel Terece Lapre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851653588 PECOS PAC ID: 0345678009 Enrollment ID: I20200312001014 |
| Provider Name | Sharon K Troxell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528149606 PECOS PAC ID: 4385073220 Enrollment ID: I20200329000285 |
| Provider Name | Courtney E Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083241012 PECOS PAC ID: 6709216021 Enrollment ID: I20200428000789 |
| Provider Name | Venu Gopal Alapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104239516 PECOS PAC ID: 5799116612 Enrollment ID: I20200510000230 |
| Provider Name | Fnu Sandhia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154842813 PECOS PAC ID: 6507288396 Enrollment ID: I20200624002176 |
| Provider Name | Tiffany L Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447888474 PECOS PAC ID: 6103240023 Enrollment ID: I20200723002824 |
| Provider Name | Michelle M Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598855363 PECOS PAC ID: 3476972969 Enrollment ID: I20201002000244 |
| Provider Name | Stephanie Helen Wehrle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346847886 PECOS PAC ID: 5890115026 Enrollment ID: I20201008003422 |
| Provider Name | Melody Hulitt-pillow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467832956 PECOS PAC ID: 5799099347 Enrollment ID: I20201020001601 |
| Provider Name | Rebekah S Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871100305 PECOS PAC ID: 0941611255 Enrollment ID: I20201117002808 |
| Provider Name | Aus Aburashed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033529847 PECOS PAC ID: 0648528240 Enrollment ID: I20210106001680 |
| Provider Name | Megan Michelle Bohm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801449285 PECOS PAC ID: 5294149498 Enrollment ID: I20210129001370 |
| Provider Name | Kathleen Patricia Keesling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841784477 PECOS PAC ID: 2769735521 Enrollment ID: I20210222000991 |
| Provider Name | Tiffany Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164837001 PECOS PAC ID: 1254748270 Enrollment ID: I20210318000943 |
| Provider Name | Brittany N Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225683972 PECOS PAC ID: 5991112880 Enrollment ID: I20210319001101 |
| Provider Name | Starla Wing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083114219 PECOS PAC ID: 0446667083 Enrollment ID: I20210329001033 |
| Provider Name | Michelle M Sutterfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023693983 PECOS PAC ID: 7517374044 Enrollment ID: I20210330002160 |
| Provider Name | Karlee Ann Keiper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861045163 PECOS PAC ID: 3375951908 Enrollment ID: I20210421000795 |
| Provider Name | Jennifer A Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295327641 PECOS PAC ID: 6305254863 Enrollment ID: I20210421002537 |
| Provider Name | Kirsten Rashae Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477100519 PECOS PAC ID: 4587073069 Enrollment ID: I20210513000977 |
| Provider Name | Rachel M Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144819764 PECOS PAC ID: 1759790231 Enrollment ID: I20210513001017 |
| Provider Name | Cheryl Yvette Lewis-battles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107637 PECOS PAC ID: 2163834896 Enrollment ID: I20210526000126 |
| Provider Name | Nicole Elizabeth Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841877974 PECOS PAC ID: 3375942774 Enrollment ID: I20210616001259 |
| Provider Name | Paul Brian Sexton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265914428 PECOS PAC ID: 9638573082 Enrollment ID: I20210806000392 |
| Provider Name | Shehzad H Siddique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164955936 PECOS PAC ID: 4587938071 Enrollment ID: I20210817001707 |
| Provider Name | Amy Jean Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851819320 PECOS PAC ID: 3072902519 Enrollment ID: I20211122003015 |
| Provider Name | Laura Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003583055 PECOS PAC ID: 2163818311 Enrollment ID: I20220415000544 |
| Provider Name | Chelsea Lynn Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306590492 PECOS PAC ID: 2365829322 Enrollment ID: I20220512000517 |
| Provider Name | Madison Alexandra Plumer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790398824 PECOS PAC ID: 8921485673 Enrollment ID: I20220518001263 |
| Provider Name | Erni D Bufford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679121313 PECOS PAC ID: 5496134819 Enrollment ID: I20220615001518 |
| Provider Name | Hilary Ann Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932606001 PECOS PAC ID: 8628329240 Enrollment ID: I20220726001270 |
| Provider Name | Marissa Ann Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669117370 PECOS PAC ID: 2466835137 Enrollment ID: I20220812000484 |
| Provider Name | Suubi Rhoda Muliira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184355869 PECOS PAC ID: 7618353467 Enrollment ID: I20220930001147 |
| Provider Name | Lindsey Faith Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154046811 PECOS PAC ID: 2163898214 Enrollment ID: I20221014002236 |
| Provider Name | Sharyn Larissa Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609489780 PECOS PAC ID: 3971971748 Enrollment ID: I20221129001430 |
| Provider Name | Carrie Maria Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891340428 PECOS PAC ID: 2062808314 Enrollment ID: I20221206003187 |
| Provider Name | Erika B Galyean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750098265 PECOS PAC ID: 0244602399 Enrollment ID: I20230217002383 |
| Provider Name | Kimberly M Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659086734 PECOS PAC ID: 4688047194 Enrollment ID: I20230303001252 |
| Provider Name | Kayla Marie Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588361463 PECOS PAC ID: 0143694513 Enrollment ID: I20230327000895 |
| Provider Name | Christina M Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033712245 PECOS PAC ID: 0446616361 Enrollment ID: I20230519000756 |
| Provider Name | Obafemi A Akinsanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467155879 PECOS PAC ID: 3870950827 Enrollment ID: I20230606002429 |
| Provider Name | Brittany N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518558816 PECOS PAC ID: 0446618326 Enrollment ID: I20230626000839 |
| Provider Name | April D Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548945389 PECOS PAC ID: 7719347863 Enrollment ID: I20230720001965 |
| Provider Name | Memphis Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720692494 PECOS PAC ID: 5799195657 Enrollment ID: I20230727001956 |
| Provider Name | Lindsay Brianne Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700563913 PECOS PAC ID: 0244684322 Enrollment ID: I20230922001608 |
| Provider Name | Blair Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366220907 PECOS PAC ID: 0840644456 Enrollment ID: I20231002001061 |
| Provider Name | Nita Dhakal Poudyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033891601 PECOS PAC ID: 0648624155 Enrollment ID: I20231002001557 |
| Provider Name | Amanda Hope Carlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639957681 PECOS PAC ID: 3173978822 Enrollment ID: I20231016002090 |
| Provider Name | Bhumika M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528846474 PECOS PAC ID: 3375999451 Enrollment ID: I20231025002760 |
| Provider Name | Leah Dawn Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386325587 PECOS PAC ID: 1153541057 Enrollment ID: I20231031001413 |
| Provider Name | Elizabeth Ann Dieckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336927300 PECOS PAC ID: 5698122695 Enrollment ID: I20231113003558 |
| Provider Name | Sarah E Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689362691 PECOS PAC ID: 8820445661 Enrollment ID: I20231115002837 |
| Provider Name | Cortney Michelle Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003696139 PECOS PAC ID: 3476901315 Enrollment ID: I20231202000214 |
| Provider Name | Caitlyn Paige Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881468452 PECOS PAC ID: 5991155814 Enrollment ID: I20231219000788 |
| Provider Name | Benjamin J Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720548621 PECOS PAC ID: 5395157333 Enrollment ID: I20231222000642 |
| Provider Name | Tonia Lynn Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396065629 PECOS PAC ID: 4385096312 Enrollment ID: I20240116001246 |
| Provider Name | Aeja Alexandra Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700650785 PECOS PAC ID: 2567805526 Enrollment ID: I20240206003985 |
| Provider Name | Cinda Mary Elrod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023533494 PECOS PAC ID: 2567806979 Enrollment ID: I20240213004507 |
| Provider Name | Aaron R Mocherman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962842468 PECOS PAC ID: 6901240217 Enrollment ID: I20240214003170 |
| Provider Name | John W Schock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558817619 PECOS PAC ID: 7517302466 Enrollment ID: I20240229004542 |
| Provider Name | Jodi L Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578609707 PECOS PAC ID: 2365887015 Enrollment ID: I20240304002544 |
| Provider Name | Lucille Elizabeth Kanjer Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225010358 PECOS PAC ID: 6608884515 Enrollment ID: I20240314000729 |
| Provider Name | Phillip Wesley Graybiel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750952347 PECOS PAC ID: 0143667816 Enrollment ID: I20240318002952 |
| Provider Name | Liberty Jo Noble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942611306 PECOS PAC ID: 3072950625 Enrollment ID: I20240319002522 |
| Provider Name | Angela Joyce Beaty-suesz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386256949 PECOS PAC ID: 4587001144 Enrollment ID: I20240319002740 |
| Provider Name | Robert H Vanderwal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265867204 PECOS PAC ID: 3072950633 Enrollment ID: I20240319002966 |
| Provider Name | Laura C Crosby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053616094 PECOS PAC ID: 5092152900 Enrollment ID: I20240327000245 |
| Provider Name | Uriah L Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023414265 PECOS PAC ID: 4284074949 Enrollment ID: I20240429000347 |
| Provider Name | Lisa A Hartman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265825277 PECOS PAC ID: 6103266895 Enrollment ID: I20240429001049 |
| Provider Name | Abby Alanna Sostre |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740397959 PECOS PAC ID: 6507206299 Enrollment ID: I20240429001312 |
| Provider Name | Amanda E Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164653531 PECOS PAC ID: 4880034586 Enrollment ID: I20240429001733 |
| Provider Name | Logan J. Ellowsky |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144759184 PECOS PAC ID: 1355781964 Enrollment ID: I20240430002451 |
| Provider Name | Lee Ann Goeke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174026686 PECOS PAC ID: 7416397021 Enrollment ID: I20240430002635 |
| Provider Name | Theresa T Felton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922407808 PECOS PAC ID: 1456791904 Enrollment ID: I20240430004223 |
| Provider Name | Katherine E Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700658952 PECOS PAC ID: 3779923024 Enrollment ID: I20240502004024 |
| Provider Name | Elizabeth Marie Leffler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801181524 PECOS PAC ID: 5294175444 Enrollment ID: I20240503003412 |
| Provider Name | Ashlea Nicole Gernand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083163422 PECOS PAC ID: 9638510654 Enrollment ID: I20240508002247 |
| Provider Name | Mari-lyn Yoder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598350605 PECOS PAC ID: 4789025693 Enrollment ID: I20240509001888 |
| Provider Name | David J. Shock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811677503 PECOS PAC ID: 7517308448 Enrollment ID: I20240509002611 |
| Provider Name | Julia E Irish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548653041 PECOS PAC ID: 5890136378 Enrollment ID: I20240515001529 |
| Provider Name | Amy L Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376711168 PECOS PAC ID: 7315388774 Enrollment ID: I20240516000579 |
| Provider Name | Kenzie P Denney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487209169 PECOS PAC ID: 3779924006 Enrollment ID: I20240516003550 |
| Provider Name | Kimberly A Alvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750621447 PECOS PAC ID: 4486095726 Enrollment ID: I20240516004024 |
| Provider Name | Brooke J Mcintyre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295176634 PECOS PAC ID: 8729429972 Enrollment ID: I20240518000222 |
| Provider Name | Vicki M Roe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487600235 PECOS PAC ID: 5092156265 Enrollment ID: I20240520000303 |
| Provider Name | Carrie L Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497050439 PECOS PAC ID: 5890137749 Enrollment ID: I20240523003471 |
| Provider Name | Christena Wilkerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467057174 PECOS PAC ID: 0749622504 Enrollment ID: I20240524000170 |
| Provider Name | Sandra Louise Duncan-hardin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164605895 PECOS PAC ID: 5193167856 Enrollment ID: I20240525000122 |
| Provider Name | Michael L. Slavkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104353192 PECOS PAC ID: 0042652703 Enrollment ID: I20240525000338 |
| Provider Name | Kara L Ashman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710467758 PECOS PAC ID: 8820430234 Enrollment ID: I20240530000682 |
| Provider Name | Timothy W Mccarty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881669414 PECOS PAC ID: 0648712596 Enrollment ID: I20240606001466 |
Center For Psychological Development, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 N Martin Ave, Muncie, IN 47303 Phone: 765-287-1922 | |
Freedom Work Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E Washington St, Muncie, IN 47305 Phone: 765-273-3224 | |
Patrick M. Moore, Acsw, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 W Royale Dr, Muncie, IN 47304 Phone: 765-288-7939 Fax: 765-288-7841 | |
Occupational Medicine Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3813 S. Madison Street, Muncie, IN 47302 Phone: 765-751-3300 Fax: 765-751-1115 | |
Family Harmony Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S Ribble Ave, Muncie, IN 47302 Phone: 765-256-1747 | |
Melissa Osner Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 W Royale Dr, Muncie, IN 47304 Phone: 765-288-7939 | |
Brave Enough, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 N Kent Dr, Muncie, IN 47304 Phone: 765-744-3322 |