Thomas Calvin Kerr, NP | |
1098 South State Road 25, Logansport, IN 46947-0000 | |
(574) 722-4141 | |
(574) 737-3907 |
Full Name | Thomas Calvin Kerr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1098 South State Road 25, Logansport, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154351658 | NPI | - | NPPES |
200845640 | Medicaid | IN | |
000000727555 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71002068A (Indiana) | Primary |
Entity Name | State Of Indiana Auditor Of State |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564 |
Entity Name | Cleanslate Medical Group Of Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
Mailing Address | Practice Location Address |
---|---|
Thomas Calvin Kerr, NP 1098 S State Road 25, Logansport, IN 46947-6723 Ph: (574) 722-4141 | Thomas Calvin Kerr, NP 1098 South State Road 25, Logansport, IN 46947-0000 Ph: (574) 722-4141 |
Ms. Lois Jane Taylor, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9366 Fax: 574-722-5987 | |
Ms. Jo Estes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308 | |
Chad E Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Michelle Leigh Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3727 E Market St, Logansport, IN 46947 Phone: 574-727-2114 | |
Alison G Kaneshiro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541 | |
Tracy L. Thomas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 574-735-0429 |