| Access Medical Clinic Llc | |
|
1641 S Us Highway 231 Crawfordsville IN 47933-9421 | |
| (865) 436-2811 | |
| Not Available |
| Full Name | Access Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1641 S Us Highway 231, Crawfordsville, Indiana |
| Authorized Official Name and Position | Monya York (CONTROLLER) |
| Authorized Official Contact | 8708561202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Medical Clinic Llc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: () - | Access Medical Clinic Llc 1641 S Us Highway 231 Crawfordsville IN 47933-9421 Ph: (865) 436-2811 |
| NPI Number | 1831810431 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 1951721802 |
|---|---|
| Medicare Enrollment ID | O20220930001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831810431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Teddy J Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053336289 PECOS PAC ID: 5597761734 Enrollment ID: I20061011000782 |
| Provider Name | Robin L Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972738359 PECOS PAC ID: 4183764699 Enrollment ID: I20130919000271 |
| Provider Name | Rachael E Drye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447669213 PECOS PAC ID: 7810284833 Enrollment ID: I20160919002789 |
| Provider Name | Nakeeta L Stansberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649400896 PECOS PAC ID: 1658620026 Enrollment ID: I20180817001027 |
| Provider Name | Shawnta Crayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023651072 PECOS PAC ID: 8527494707 Enrollment ID: I20200206001698 |
| Provider Name | Heather N Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710572508 PECOS PAC ID: 2860801966 Enrollment ID: I20210430001505 |
| Provider Name | Merinda Barbara Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255895199 PECOS PAC ID: 9931438348 Enrollment ID: I20210823001831 |
| Provider Name | David N Njunge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457018160 PECOS PAC ID: 4587058292 Enrollment ID: I20220223000967 |
| Provider Name | Melissa Sue Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134730427 PECOS PAC ID: 0345638805 Enrollment ID: I20221122000508 |
| Provider Name | Lara Leigh Mote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407572548 PECOS PAC ID: 8022488824 Enrollment ID: I20230111001854 |
| Provider Name | Mark Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20230131002966 |
| Provider Name | Corbin Adra Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457040222 PECOS PAC ID: 4486012663 Enrollment ID: I20230620003140 |
| Provider Name | Tara Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780363572 PECOS PAC ID: 5698136539 Enrollment ID: I20230725003282 |
| Provider Name | Karen Stephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952031387 PECOS PAC ID: 2769844042 Enrollment ID: I20230817004105 |
| Provider Name | Tammy Lynn Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124808803 PECOS PAC ID: 3476901018 Enrollment ID: I20231121001098 |
| Provider Name | Donna Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235386822 PECOS PAC ID: 0840633475 Enrollment ID: I20240209003191 |
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