Jimmy L Chenowith, | |
4265 E Main St, Avon, IN 46123-9174 | |
(317) 268-6555 | |
Not Available |
Full Name | Jimmy L Chenowith |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4265 E Main St, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881353415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 28178114A (Indiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71012070A (Indiana) | Primary |
Entity Name | Midwest Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118 |
Entity Name | My Mobile Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225495716 PECOS PAC ID: 1052617826 Enrollment ID: O20160304001699 |
Entity Name | My Mobile Md Psychiatric Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528712452 PECOS PAC ID: 9638564750 Enrollment ID: O20220328000211 |
Entity Name | Jl Chenowith |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164144150 PECOS PAC ID: 5193101418 Enrollment ID: O20221010001913 |
Mailing Address | Practice Location Address |
---|---|
Jimmy L Chenowith, 1505 Cherry Tree Rd, Avon, IN 46123-7124 Ph: () - | Jimmy L Chenowith, 4265 E Main St, Avon, IN 46123-9174 Ph: (317) 268-6555 |
Christi Lynn Crimmins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7975 E Us Highway 36, Avon, IN 46123 Phone: 317-355-9250 Fax: 317-806-1133 | |
Megan Burton, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 | |
Melissa Grimes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8607 E Us Highway 36 Ste 300, Avon, IN 46123 Phone: 317-718-7960 | |
Jill Suzanne Dana, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906 | |
Victoria Neuses, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 317-742-1340 Fax: 317-203-1066 | |
Sara Diann Ridlen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7990 E Us Highway 36, Avon, IN 46123 Phone: 866-389-2727 | |
Brittany Renee Montgomery, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906 |