| Blue Elk Family Clinic Llc | |
|
50 E Willow St Ste C Nashville IN 47448 | |
| (812) 200-8265 | |
| (833) 972-1963 |
| Full Name | Blue Elk Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 50 E Willow St Ste C, Nashville, Indiana |
| Authorized Official Name and Position | Lawrence David Sanchez (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8122008265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Elk Family Clinic Llc 8410 S 575 W Morgantown IN 46160-8492 Ph: (414) 640-4945 | Blue Elk Family Clinic Llc 50 E Willow St Ste C Nashville IN 47448 Ph: (812) 200-8265 |
| NPI Number | 1104499649 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 2961805957 |
|---|---|
| Medicare Enrollment ID | O20210728002809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104499649 | NPI | - | NPPES |
| 300046197 | Medicaid | IN | |
| 000001485581 | Other | ANTHEM PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lawrence David Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841290301 PECOS PAC ID: 0547266868 Enrollment ID: I20180313000343 |
Columbus Regional Health Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Willow St, Suite B, Nashville, IN 47448 Phone: 812-988-2223 | |
Proactive Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 E Main St, Nashville, IN 47448 Phone: 812-720-3297 Fax: 833-638-0105 | |
Nashville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Willow St Ste B, Nashville, IN 47448 Phone: 812-988-2223 Fax: 812-988-3933 |