Deborah Davidson, MSN, APN | |
405 Fairgrounds Rd, Tipton, IN 46072-9596 | |
(765) 408-0536 | |
(765) 405-0539 |
Full Name | Deborah Davidson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 405 Fairgrounds Rd, Tipton, 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 |
---|---|---|---|
1063813178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 309.007493 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71007149A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Four County Comprehensive Mental Health Center Inc | 2163334277 | 13 |
Entity Name | Four County Comprehensive Mental Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972545945 PECOS PAC ID: 2163334277 Enrollment ID: O20031105000480 |
Entity Name | Indiana Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
Mailing Address | Practice Location Address |
---|---|
Deborah Davidson, MSN, APN 800 Fulton St, Logansport, IN 46947-1577 Ph: (574) 205-2600 | Deborah Davidson, MSN, APN 405 Fairgrounds Rd, Tipton, IN 46072-9596 Ph: (765) 408-0536 |
Nicholle M Hise, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1060 S Main St, Suite 3, Tipton, IN 46072 Phone: 765-675-7009 Fax: 765-675-3914 | |
Jaime Freeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 S Main St Ste 200, Tipton, IN 46072 Phone: 765-675-1400 | |
Amy Leigh Draper-poe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 S. Main Street Suite 200, Tipton, IN 46072 Phone: 765-675-1400 Fax: 765-675-1401 | |
Julie L Brockman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 317-678-3735 Fax: 317-678-3735 | |
Ms. Mary Katherine Mariotti, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5880 W State Road 28, Tipton, IN 46072 Phone: 765-557-6097 Fax: 765-557-6124 |