Mr Jesse Martin Herrman I, | |
720 N Marr Rd, Columbus, IN 47201-6660 | |
(812) 314-3400 | |
Not Available |
Full Name | Mr Jesse Martin Herrman I |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 720 N Marr Rd, Columbus, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154198562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71014691A (Indiana) | Primary |
Entity Name | Centerstone Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518528579 PECOS PAC ID: 1850497173 Enrollment ID: O20070504000012 |
Mailing Address | Practice Location Address |
---|---|
Mr Jesse Martin Herrman I, 6206 Catalina Dr, Indianapolis, IN 46259-1703 Ph: (317) 902-0700 | Mr Jesse Martin Herrman I, 720 N Marr Rd, Columbus, IN 47201-6660 Ph: (812) 314-3400 |
Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804 | |
Tatiana D. Doran, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2502 25th St, Columbus, IN 47201 Phone: 812-372-8883 Fax: 812-372-8964 | |
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640 | |
Carolyn Behling, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400 | |
Shelley L Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781 | |
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660 |