Trista Bodenstadt, | |
1724 State St, New Albany, IN 47150-4916 | |
(502) 327-9100 | |
Not Available |
Full Name | Trista Bodenstadt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1724 State St, New Albany, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205597515 | NPI | - | NPPES |
7100852640 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 71012095A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shc Medical Partners Of Kentucky, Llc | 1153406301 | 40 |
Abode Care Partners Ltc Vb, Llc | 8325316516 | 73 |
Entity Name | Cogent Healthcare Of Kentucky, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362293 PECOS PAC ID: 0648294157 Enrollment ID: O20060124000434 |
Entity Name | Shc Medical Partners Of Kentucky, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024 |
Entity Name | Abode Care Partners Ltc Vb, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447029798 PECOS PAC ID: 8325316516 Enrollment ID: O20240124001005 |
Mailing Address | Practice Location Address |
---|---|
Trista Bodenstadt, 9220 Robin Rd, Georgetown, IN 47122-8900 Ph: (502) 381-7592 | Trista Bodenstadt, 1724 State St, New Albany, IN 47150-4916 Ph: (502) 327-9100 |
Mr. David Melvin Whittaker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1919 State St Ste 364, New Albany, IN 47150 Phone: 812-949-4767 Fax: 812-948-4338 | |
Sarah E Carpenter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Green Valley Rd, New Albany, IN 47150 Phone: 812-948-2232 Fax: 812-945-0869 | |
Alexandra Hardin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 State St, New Albany, IN 47150 Phone: 812-948-8305 | |
Mrs. Christy Rae Crawley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 906 Silver St, New Albany, IN 47150 Phone: 502-931-2565 | |
Michelle N. Bingham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 812-944-7701 Fax: 812-981-6505 | |
Angela M Gallahar, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 State St, New Albany, IN 47150 Phone: 812-948-8305 | |
Ms. Rachel Elizabeth Gould, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2630 Grant Line Rd, New Albany, IN 47150 Phone: 812-945-0145 |