Mrs Jennie P Hiam, | |
907 Se 8th St, Evansville, IN 47713-1530 | |
(812) 436-0224 | |
(812) 436-0230 |
Full Name | Mrs Jennie P Hiam |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 907 Se 8th 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 |
---|---|---|---|
1144229295 | NPI | - | NPPES |
000000328971 | Other | ANTHEM BC/BS | |
100465880A | Medicaid | IN | |
351791786104 | Other | IN | CARESOURCE PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71000431 (Indiana) | Primary |
Entity Name | Southwestern Behavioral Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033108766 PECOS PAC ID: 7315842309 Enrollment ID: O20031203000451 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennie P Hiam, 501 John St, Suite 12, Evansville, IN 47713-2705 Ph: (812) 421-7489 | Mrs Jennie P Hiam, 907 Se 8th St, Evansville, IN 47713-1530 Ph: (812) 436-0224 |
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 |