Kellie Planck, | |
4781 Kaybee Drive, Gas City, IN 46933-6607 | |
(765) 660-7840 | |
(765) 671-3509 |
Full Name | Kellie Planck |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 4781 Kaybee Drive, Gas City, 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 |
---|---|---|---|
1144680679 | NPI | - | NPPES |
0000001008936 | Other | IN | ANTHEM |
201358080 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71006172A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71006172A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Of Mercy Homecare | Marion, IN | Home health agency |
Marion General Hospital | Marion, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marion General Hospital | 9133023625 | 91 |
Entity Name | Marion General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483 |
Mailing Address | Practice Location Address |
---|---|
Kellie Planck, 330 N Wabash, Ste G20, Marion, IN 46952-2600 Ph: (765) 660-7616 | Kellie Planck, 4781 Kaybee Drive, Gas City, IN 46933-6607 Ph: (765) 660-7840 |
Julie Gearhart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4781 S Kaybee Dr, Gas City, IN 46933 Phone: 765-998-9975 Fax: 765-998-9979 | |
Rose Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 717 E Main, Gas City, IN 46933 Phone: 765-677-4719 Fax: 765-677-4727 | |
Ms. Sandra L Wright, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4781 Kaybee Dr, Gas City, IN 46933 Phone: 765-660-7840 Fax: 765-671-3509 |