Allison Rae Shrack, | |
400 N Mount Zion Rd, Lebanon, IN 46052-9497 | |
(765) 335-0123 | |
(765) 335-0127 |
Full Name | Allison Rae Shrack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 400 N Mount Zion Rd, Lebanon, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053858621 | NPI | - | NPPES |
300010815 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28203711A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71007355A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Witham Memorial Hospital | 4082523170 | 93 |
Entity Name | Witham Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402 |
Mailing Address | Practice Location Address |
---|---|
Allison Rae Shrack, 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () - | Allison Rae Shrack, 400 N Mount Zion Rd, Lebanon, IN 46052-9497 Ph: (765) 335-0123 |
Lisa J Frye, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727 | |
Mrs. Nora Camille Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727 | |
Mrs. Staci Jeanne Sides, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 | |
Mr. Mitchell Lee Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 | |
Jennifer Holladay, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 765-482-3630 | |
Alexandria Joanne Roemke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 |