Mr Justin Lee Grose, PMHNP-BC | |
629 Ingle St, Evansville, IN 47708-1345 | |
(812) 602-4022 | |
Not Available |
Full Name | Mr Justin Lee Grose |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 629 Ingle St, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225632110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71010999A (Indiana) | Primary |
Entity Name | Brentwood Meadows Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528479029 PECOS PAC ID: 9830412956 Enrollment ID: O20141222001827 |
Entity Name | Now Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962958363 PECOS PAC ID: 3476817503 Enrollment ID: O20180425002784 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin Lee Grose, PMHNP-BC 6344 E County Road 500 N, Grandview, IN 47615-9434 Ph: (812) 719-6143 | Mr Justin Lee Grose, PMHNP-BC 629 Ingle St, Evansville, IN 47708-1345 Ph: (812) 602-4022 |
Kelly Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Covert Ave, Evansville, IN 47714 Phone: 812-476-9983 Fax: 812-437-6149 | |
Megan E Mayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-492-5055 Fax: 812-402-9857 | |
Valerie A Turpen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1750 Oak Hill Rd, Evansville, IN 47711 Phone: 812-485-2580 Fax: 812-485-2590 | |
Melissa L Attebury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8600 University Blvd Rm Hp0091, Evansville, IN 47712 Phone: 812-465-1250 Fax: 812-465-7170 | |
Angela L Sams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4498 1st Ave, Evansville, IN 47710 Phone: 812-436-7280 Fax: 812-436-7290 | |
Chelsea Miles, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 958c S Kenmore Dr, Evansville, IN 47714 Phone: 812-477-2760 | |
Roseanna L Parkhurst Gatewood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Bellemeade Ave Ste 202, Evansville, IN 47714 Phone: 812-485-5800 |