Ann B. Patterson Md, Pc | |
721 W 13th St Ste 322 Jasper IN 47546-1855 | |
(812) 634-6646 | |
(812) 634-2104 |
Full Name | Ann B. Patterson Md, Pc |
---|---|
Speciality | Family Medicine |
Location | 721 W 13th St, Jasper, Indiana |
Authorized Official Name and Position | Ann B Patterson (OWNER) |
Authorized Official Contact | 8126346646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ann B. Patterson Md, Pc 721 W 13th St Ste 322 Jasper IN 47546-1855 Ph: (812) 634-6646 | Ann B. Patterson Md, Pc 721 W 13th St Ste 322 Jasper IN 47546-1855 Ph: (812) 634-6646 |
NPI Number | 1033317169 |
---|---|
Provider Enumeration Date | 07/10/2007 |
Last Update Date | 07/10/2007 |
Medicare PECOS PAC ID | 6709806086 |
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Medicare Enrollment ID | O20051201000297 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033317169 | NPI | - | NPPES |
000000381262 | Other | IN | BCBS PIN NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01047312A (Indiana) | Primary |
Provider Name | Ann B Patterson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356310627 PECOS PAC ID: 8426078700 Enrollment ID: I20051205000135 |
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