| Jennifer Gross, | |
|
2302 Chester Blvd Ste A, Richmond, IN 47374-1221 | |
| (765) 488-0345 | |
| (765) 488-2467 |
| Full Name | Jennifer Gross |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2302 Chester Blvd Ste A, Richmond, 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 |
|---|---|---|---|
| 1295327641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71010911A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reid Hospital & Health Care Services | Richmond, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleanslate Medical Group Of Indiana Llc | 4880963909 | 65 |
| Meridian Health Services Corp | 5597679845 | 47 |
| Entity Name | Meridian Health Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
| Entity Name | Cleanslate Medical Group Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Gross, 2302 Chester Blvd Ste A, Richmond, IN 47374-1221 Ph: (765) 488-0345 | Jennifer Gross, 2302 Chester Blvd Ste A, Richmond, IN 47374-1221 Ph: (765) 488-0345 |
Poshia Slusher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 E Main St, Richmond, IN 47374 Phone: 765-598-5700 | |
Catherine Blyth, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Chester Blvd., Suite 1, Richmond, IN 47374 Phone: 765-935-8594 Fax: 765-935-8595 | |
Mrs. Debra Kay Shaw, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 S 8th St, Richmond, IN 47374 Phone: 765-939-3947 Fax: 765-939-3950 | |
Casey Joe Smith, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 Nw 18th St Ste D, Richmond, IN 47374 Phone: 765-373-8704 | |
Mrs. Britney Marie Glover, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 Chester Blvd., Reid Pediatric & Internal Medicine, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5528 | |
Tabatha Nicole Timberman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Reid Pkwy Ste 130, Richmond, IN 47374 Phone: 765-935-8943 Fax: 765-935-8944 | |
Tina S. Chavis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Chester Blvd, Richmond, IN 47374 Phone: 765-939-2395 Fax: 765-939-2425 |