Mackenzie Elise Gaw, FNP | |
420 W Longest St, Paoli, IN 47454-8821 | |
(812) 723-3994 | |
Not Available |
Full Name | Mackenzie Elise Gaw |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 420 W Longest St, Paoli, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023741402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71012914A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 28247763A (Indiana) | Primary |
Entity Name | Southern Indiana Community Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Mailing Address | Practice Location Address |
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Mackenzie Elise Gaw, FNP 408 Les Dr, Chandler, IN 47610-9724 Ph: () - | Mackenzie Elise Gaw, FNP 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3994 |
Jaclynn Marie Thacker, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 | |
Stephanie Frye, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 | |
Michael Daggy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7451 Fax: 812-723-7508 | |
Linda Carol Wells-freiberger, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Cherry Street, Paoli, IN 47454 Phone: 812-723-0150 | |
Jill Christine Evans, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-7991 | |
Shannon Malena Dooley, N. P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-5292 |