Alexis M Johnson, NP | |
500 W Votaw St, Portland, IN 47371-1322 | |
(260) 726-2313 | |
(317) 222-2071 |
Full Name | Alexis M Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 500 W Votaw St, Portland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538944293 | NPI | - | NPPES |
1103736653 | Other | IN | ANTHEM PTAN |
224040207 | Other | IN | MEDICARE PTAN |
300082442 | Medicaid | IN |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | St Vincent Physician Services Hospital And Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Alexis M Johnson, NP 13500 N Meridian St, Carmel, IN 46032-1456 Ph: () - | Alexis M Johnson, NP 500 W Votaw St, Portland, IN 47371-1322 Ph: (260) 726-2313 |
Mrs. Heather Ann Masters, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975 | |
Kerry M Torres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822 | |
Danielle Thompson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312 Fax: 260-703-3313 | |
Alice Odelia Bruggeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 | |
Anne Hardesty, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-2313 | |
Kayla Marie Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Votaw St, Portland, IN 47371 Phone: 765-288-1928 | |
Carrie Elizabeth Baldwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 |