Park View Psychiatric Services, Psc | |
510 Spring St Jeffersonville IN 47130-3554 | |
(812) 282-1888 | |
(812) 218-9318 |
Full Name | Park View Psychiatric Services, Psc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 510 Spring St, Jeffersonville, Indiana |
Authorized Official Name and Position | Steven R. Shelton (PRESIDENT) |
Authorized Official Contact | 8122821888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Park View Psychiatric Services, Psc 510 Spring St Jeffersonville IN 47130-3554 Ph: (812) 282-1888 | Park View Psychiatric Services, Psc 510 Spring St Jeffersonville IN 47130-3554 Ph: (812) 282-1888 |
NPI Number | 1063415297 |
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Provider Enumeration Date | 05/23/2005 |
Last Update Date | 10/14/2015 |
Medicare PECOS PAC ID | 5698673101 |
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Medicare Enrollment ID | O20111214000230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063415297 | NPI | - | NPPES |
0676466 | Other | KY | ELLEN KNOX'S KY MEDICARE # |
160780J | Other | IN | KELLY BUTLER'S IN MEDICARE # |
160780W | Other | IN | ELLEN KNOX'S IN MEDICARE # |
CG3623 | Other | IN | MEDICARE RAILROAD |
CK2274 | Other | KY | MEDICARE RAILROAD |
160780Q | Other | IN | ASAD ISMAIL'S IN MEDICARE # |
160780I | Other | IN | STEVE SHELTON'S IN MEDICARE # |
160860 | Other | IN | MEDICARE |
2444451000 | Other | KY | PASSPORT ADVANTAGE |
0676401 | Other | KY | STEVE SHELTON'S KY MEDICARE # |
0676429 | Other | KY | ASAD ISMAIL'S KY MEDICARE # |
64100142 | Medicaid | KY | |
0676412 | Other | KY | KELLY BUTLER'S KY MEDICARE # |
50002992 | Other | PASSPORT HEALTH PLAN GROUP # | |
65927857 | Medicaid | KY | |
50010129 | Other | PASSPORT HEALTH PLAN # FOR ISMAIL | |
50010173 | Other | PASSPORT HEALTH PLAN # FOR KNOX | |
50010499 | Other | PASSPORT HEALTH PLAN # FOR BUTLER | |
5002993 | Other | PASSPORT HEALTH PLAN # FOR SHELTON | |
100386460 | Medicaid | IN |
Provider Name | Janice L. Brashear |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952304040 PECOS PAC ID: 3779770284 Enrollment ID: I20101209001018 |
Provider Name | Steven Shelton |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215934310 PECOS PAC ID: 6406754910 Enrollment ID: I20110930000216 |
Provider Name | William T Lavely |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871927822 PECOS PAC ID: 2860627635 Enrollment ID: I20140113000539 |
Provider Name | Mary C Mcandrews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033440029 PECOS PAC ID: 1951615996 Enrollment ID: I20150804004413 |
Provider Name | Elizabeth A Smoot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144775826 PECOS PAC ID: 8426330580 Enrollment ID: I20170125000723 |
Provider Name | Anna Reyes-crawhorn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154978732 PECOS PAC ID: 5092043067 Enrollment ID: I20190829000408 |
Provider Name | Jennifer Parr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710361530 PECOS PAC ID: 0446552038 Enrollment ID: I20201130002748 |
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