Cleanslate Medical Group Of Indiana Llc - Medicare Primary Care in Evansville, IN

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Cleanslate Medical Group Of Indiana Llc is a medicare enrolled primary clinic (Internal Medicine - Addiction Medicine) in Evansville, Indiana. The current practice location for Cleanslate Medical Group Of Indiana Llc is 4411 Washington Ave Ste 105, Evansville, Indiana. For appointments, you can reach them via phone at (812) 213-0304. The mailing address for Cleanslate Medical Group Of Indiana Llc is 8 Cadillac Dr Ste 180, Brentwood, Tennessee and phone number is (615) 425-0220.

Cleanslate Medical Group Of Indiana Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023464294. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 213-0304.

Contact Information

Cleanslate Medical Group Of Indiana Llc
4411 Washington Ave Ste 105
Evansville
IN 47714-0805
(812) 213-0304
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCleanslate Medical Group Of Indiana Llc
SpecialityInternal Medicine
Location4411 Washington Ave Ste 105, Evansville, Indiana
Authorized Official Name and PositionMatthew Philip Smolarek (CFO)
Authorized Official Contact4129995188
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cleanslate Medical Group Of Indiana Llc
8 Cadillac Dr Ste 180
Brentwood
TN 37027-5393

Ph: (615) 425-0220		Cleanslate Medical Group Of Indiana Llc
4411 Washington Ave Ste 105
Evansville
IN 47714-0805

Ph: (812) 213-0304

NPI Details:

NPI Number1023464294
Provider Enumeration Date05/06/2016
Last Update Date07/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4880963909
Medicare Enrollment IDO20171023001515

Medical Identifiers

Medical identifiers for Cleanslate Medical Group Of Indiana Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023464294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cleanslate Medical Group Of Indiana Llc acts as a billing entity for following providers:
Provider NameLaura Jean Wicker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114981842
PECOS PAC ID: 3971577016
Enrollment ID: I20040824000561
Provider NameArdrienne H Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770633034
PECOS PAC ID: 4587630470
Enrollment ID: I20040902000350
Provider NameJames E Meacham
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1548216609
PECOS PAC ID: 6305802745
Enrollment ID: I20041207000752
Provider NameStephanie Ann Reagan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083664643
PECOS PAC ID: 5092769091
Enrollment ID: I20050311000233
Provider NameDonald S Dunevant
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821059148
PECOS PAC ID: 3375582265
Enrollment ID: I20050429000497
Provider NamePaula A Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700998440
PECOS PAC ID: 7012957129
Enrollment ID: I20050509000519
Provider NameEmma C Wang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982647434
PECOS PAC ID: 5890719652
Enrollment ID: I20060119000276
Provider NameRandall Cammenga
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1154321107
PECOS PAC ID: 0345255626
Enrollment ID: I20060207000845
Provider NameDebora A Nygren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487616108
PECOS PAC ID: 9931118726
Enrollment ID: I20060405000618
Provider NameJames Anthony Holder
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1053387951
PECOS PAC ID: 3971528217
Enrollment ID: I20060406000610
Provider NameThomas C Kerr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154351658
PECOS PAC ID: 4385643469
Enrollment ID: I20061219000338
Provider NameJulie Marie Towery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902953763
PECOS PAC ID: 8224030754
Enrollment ID: I20070212000582
Provider NameWilliam H Wolfe
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1083779904
PECOS PAC ID: 5698871945
Enrollment ID: I20070502000311
Provider NameRichard L Hon
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1255431813
PECOS PAC ID: 2466426812
Enrollment ID: I20070920000361
Provider NameAmy E Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962592956
PECOS PAC ID: 7012010721
Enrollment ID: I20071023000406
Provider NameJeremy Wilber
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346457934
PECOS PAC ID: 4082772215
Enrollment ID: I20081016000504
Provider NameBarbara A Mickler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356454896
PECOS PAC ID: 5890851455
Enrollment ID: I20090305000436
Provider NameAutumn C Allgeier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568601805
PECOS PAC ID: 9234280546
Enrollment ID: I20090909000375
Provider NameLinda D Keith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760626402
PECOS PAC ID: 6507906294
Enrollment ID: I20091210000152
Provider NameMelissa Jane Truax
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457465387
PECOS PAC ID: 4183755028
Enrollment ID: I20100622000115
Provider NameRodney Guimont
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316119837
PECOS PAC ID: 2860523099
Enrollment ID: I20100701000368
Provider NameGregory P Gramelspacher
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1013974088
PECOS PAC ID: 8426181157
Enrollment ID: I20100802000926
Provider NameBridget Ranae Stillions
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982930889
PECOS PAC ID: 1456546753
Enrollment ID: I20101112000091
Provider NameTara A Mendoza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366742488
PECOS PAC ID: 0648455840
Enrollment ID: I20110504000182
Provider NameJanie Arington
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1770873739
PECOS PAC ID: 9436329398
Enrollment ID: I20110901000054
Provider NameKaren Sue Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598053985
PECOS PAC ID: 1355511056
Enrollment ID: I20110908001731
Provider NameJack R Lowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093077505
PECOS PAC ID: 1658535844
Enrollment ID: I20120620000317
Provider NameErin Hillers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710215686
PECOS PAC ID: 3678742913
Enrollment ID: I20121204000361
Provider NameMckenzie L Hinshaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124388103
PECOS PAC ID: 9638311228
Enrollment ID: I20130812000034
Provider NameDesma D Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477994291
PECOS PAC ID: 1153557392
Enrollment ID: I20131119000132
Provider NameTara N Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528483856
PECOS PAC ID: 7911138748
Enrollment ID: I20140320000918
Provider NameAngela Geissman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891112769
PECOS PAC ID: 4486568391
Enrollment ID: I20140417000461
Provider NameAileen D Bays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831526599
PECOS PAC ID: 6204059637
Enrollment ID: I20140603001499
Provider NameElaine Burcham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003135864
PECOS PAC ID: 6709001217
Enrollment ID: I20140625001149
Provider NameAshley L Grumbine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194139956
PECOS PAC ID: 9537385950
Enrollment ID: I20140721001913
Provider NameChadi Saifan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1740450477
PECOS PAC ID: 1052487923
Enrollment ID: I20140916001233
Provider NameMichelle J Wathier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124436217
PECOS PAC ID: 4486873437
Enrollment ID: I20140924000718
Provider NameDonna C Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235100769
PECOS PAC ID: 6103830302
Enrollment ID: I20141121000166
Provider NameCrystal J Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801102579
PECOS PAC ID: 0143455246
Enrollment ID: I20150116000808
Provider NameRita M Spellman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619365178
PECOS PAC ID: 4082939202
Enrollment ID: I20150211000675
Provider NameKalee M Dunkle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528498458
PECOS PAC ID: 2466674148
Enrollment ID: I20150326000086
Provider NameJessica R Bleyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053703900
PECOS PAC ID: 6709104672
Enrollment ID: I20150406002361
Provider NameSamuel A Locoh-donou
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558700831
PECOS PAC ID: 9739320698
Enrollment ID: I20150612000989
Provider NameJeffrey Coy
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1447494893
PECOS PAC ID: 3274507579
Enrollment ID: I20150626001455
Provider NameKumpol Dennison
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275887770
PECOS PAC ID: 2860706819
Enrollment ID: I20150804004760
Provider NameAlison Arnold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639546674
PECOS PAC ID: 6800196817
Enrollment ID: I20151124000662
Provider NameJulie Teague
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386033504
PECOS PAC ID: 4688979735
Enrollment ID: I20160226001471
Provider NameKristopher A Renzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164876447
PECOS PAC ID: 9537451109
Enrollment ID: I20160630001601
Provider NameKathy Nobles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770952582
PECOS PAC ID: 6002109139
Enrollment ID: I20160726002964
Provider NameLisa A Hilliard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508319070
PECOS PAC ID: 3072801091
Enrollment ID: I20161006002184
Provider NameAlexandra M Sanserino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184170573
PECOS PAC ID: 8022306752
Enrollment ID: I20161013000706
Provider NameSong I Baek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679020119
PECOS PAC ID: 2163701160
Enrollment ID: I20161115001906
Provider NamePerry Minner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295123693
PECOS PAC ID: 2466732631
Enrollment ID: I20161205001101
Provider NameClaudie Jimenez
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1396725693
PECOS PAC ID: 3678855798
Enrollment ID: I20170126000224
Provider NamePatricia A Altman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437605193
PECOS PAC ID: 1658648357
Enrollment ID: I20170601000134
Provider NameNora Wilcox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023539863
PECOS PAC ID: 3577835370
Enrollment ID: I20170814002114
Provider NameConnie A Bronson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922521608
PECOS PAC ID: 3476827122
Enrollment ID: I20170920000716
Provider NameCynthia E Gannon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649366360
PECOS PAC ID: 1658552732
Enrollment ID: I20171108000540
Provider NameBrenda Barker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336355023
PECOS PAC ID: 7416213178
Enrollment ID: I20171113002533
Provider NameMalee Blue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730626979
PECOS PAC ID: 2961769609
Enrollment ID: I20171205001040
Provider NameOmotayo Temitope Fawibe
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1851634554
PECOS PAC ID: 0345507950
Enrollment ID: I20171206000631
Provider NameIsaiah Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598217176
PECOS PAC ID: 8426315045
Enrollment ID: I20171206001107
Provider NameBrandon Emry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164938007
PECOS PAC ID: 9032471826
Enrollment ID: I20180314001055
Provider NameJoshua R Holley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780106096
PECOS PAC ID: 6608138979
Enrollment ID: I20180326002400
Provider NameMary M Brauer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902293665
PECOS PAC ID: 2567726177
Enrollment ID: I20180508000902
Provider NameElizabeth Fouch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528241940
PECOS PAC ID: 7618232679
Enrollment ID: I20180523001087
Provider NameKathy Ann Ehler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386984789
PECOS PAC ID: 0345541934
Enrollment ID: I20180627001769
Provider NameAmelia Horn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295196673
PECOS PAC ID: 0143510933
Enrollment ID: I20180727002061
Provider NameShelly Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770060360
PECOS PAC ID: 0547518698
Enrollment ID: I20180806001382
Provider NameJackie Hawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760988794
PECOS PAC ID: 9436407558
Enrollment ID: I20180807001519
Provider NameRachael L Moyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972084317
PECOS PAC ID: 8325390800
Enrollment ID: I20181010003835
Provider NameJennifer Erin Scarberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144717927
PECOS PAC ID: 7214289693
Enrollment ID: I20181012000971
Provider NameThembelani Dube
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467968040
PECOS PAC ID: 4183976574
Enrollment ID: I20181012001720
Provider NameMaydia S Facey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851890370
PECOS PAC ID: 1052663440
Enrollment ID: I20181012001881
Provider NameChellee Furbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609358753
PECOS PAC ID: 7214289479
Enrollment ID: I20181016003176
Provider NameHeather Ellen Metzger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750866430
PECOS PAC ID: 3577816586
Enrollment ID: I20181022000805
Provider NameWayne L Scherbaum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912482449
PECOS PAC ID: 2769735158
Enrollment ID: I20181101001451
Provider NameKourtney Adon Sterling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215412028
PECOS PAC ID: 1759625056
Enrollment ID: I20181127001919
Provider NameVarrinder Singh Sandhu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1598907289
PECOS PAC ID: 7517189277
Enrollment ID: I20181203000302
Provider NameKelly J. Edsall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780178616
PECOS PAC ID: 6204172687
Enrollment ID: I20190104002469
Provider NameLayla Nadir Al-shami
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255483558
PECOS PAC ID: 3173860418
Enrollment ID: I20190124003309
Provider NameJennifer A Solsbury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508307224
PECOS PAC ID: 7315215712
Enrollment ID: I20190207002072
Provider NameTessa E Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558816751
PECOS PAC ID: 2365730843
Enrollment ID: I20190219000197
Provider NameNatalie Claire Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225501257
PECOS PAC ID: 9436497369
Enrollment ID: I20190219000357
Provider NamePatricia Justine Irvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013473297
PECOS PAC ID: 1850630534
Enrollment ID: I20190222002825
Provider NameDreama Michelle Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306402383
PECOS PAC ID: 5890021687
Enrollment ID: I20190801000293
Provider NameMame Dillion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558879056
PECOS PAC ID: 6901136688
Enrollment ID: I20190923002230
Provider NameMelissa G Collier
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003025511
PECOS PAC ID: 9436435633
Enrollment ID: I20190926000665
Provider NameSally Combest
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1790892776
PECOS PAC ID: 0143282673
Enrollment ID: I20190926001630
Provider NameStephanie C Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639628027
PECOS PAC ID: 1557629680
Enrollment ID: I20191121002570
Provider NameJama E Berkemeier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174169411
PECOS PAC ID: 9537593595
Enrollment ID: I20191227000902
Provider NameJayme Lantz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891338166
PECOS PAC ID: 8820423577
Enrollment ID: I20200127001835
Provider NameChelsey Wicker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386275584
PECOS PAC ID: 8022444025
Enrollment ID: I20200211002605
Provider NameKathleen Vanderreyden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225668312
PECOS PAC ID: 1557799491
Enrollment ID: I20200307000064
Provider NameAlexandra Haggerty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881136901
PECOS PAC ID: 6709157027
Enrollment ID: I20200406001172
Provider NameAbby R Andress
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255975165
PECOS PAC ID: 7113341140
Enrollment ID: I20200722003455
Provider NameKalee Danielle Gerber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235740846
PECOS PAC ID: 3678999729
Enrollment ID: I20200819002878
Provider NameKatherine E Deer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407465412
PECOS PAC ID: 6103243860
Enrollment ID: I20200827000265
Provider NameBlake Alan Luebbehusen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154925907
PECOS PAC ID: 7113330259
Enrollment ID: I20210108000781
Provider NameDan Sun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295324523
PECOS PAC ID: 1254745722
Enrollment ID: I20210122002582
Provider NameKathleen Patricia Keesling
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841784477
PECOS PAC ID: 2769735521
Enrollment ID: I20210222000991
Provider NameJennifer A Gross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295327641
PECOS PAC ID: 6305254863
Enrollment ID: I20210421002537
Provider NameDesiree Dawn Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568068633
PECOS PAC ID: 9133529399
Enrollment ID: I20210610001039
Provider NameMelissa Ann Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053992610
PECOS PAC ID: 6103229620
Enrollment ID: I20210721002929
Provider NameLaury Farrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891394599
PECOS PAC ID: 7517361645
Enrollment ID: I20210811000992
Provider NameMerinda Barbara Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255895199
PECOS PAC ID: 9931438348
Enrollment ID: I20210823001831
Provider NameCerina M Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255939484
PECOS PAC ID: 9739585613
Enrollment ID: I20210831003398
Provider NameJanna Weatherly-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558940692
PECOS PAC ID: 6709274848
Enrollment ID: I20211022001377
Provider NameMax M Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538647409
PECOS PAC ID: 4981092962
Enrollment ID: I20211025000469
Provider NameTrang Ca Laube
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104498773
PECOS PAC ID: 0244629707
Enrollment ID: I20211123000684
Provider NameMichaella Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619553948
PECOS PAC ID: 2961891437
Enrollment ID: I20211123000773
Provider NameBethany Ellen Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255098000
PECOS PAC ID: 4981095114
Enrollment ID: I20211227000298
Provider NameKylie Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386240463
PECOS PAC ID: 9234520958
Enrollment ID: I20220106001056
Provider NameKristin M Millen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831859354
PECOS PAC ID: 3274926373
Enrollment ID: I20220214002029
Provider NameAmanda Rose Barrie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497308852
PECOS PAC ID: 1052707700
Enrollment ID: I20220405001487
Provider NameLindsey Carol Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336734938
PECOS PAC ID: 8628455243
Enrollment ID: I20220519000701
Provider NameAndrea I Mamaril
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134879042
PECOS PAC ID: 6002294345
Enrollment ID: I20220527001495
Provider NameMark Pardue
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063033462
PECOS PAC ID: 0345621579
Enrollment ID: I20220720000569
Provider NameMelissa Oseguera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558945378
PECOS PAC ID: 5193125912
Enrollment ID: I20220726001891
Provider NameMonica Cecile Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083353585
PECOS PAC ID: 1850773524
Enrollment ID: I20220728001272
Provider NameKatherine Jean Wadsworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508588708
PECOS PAC ID: 1456736701
Enrollment ID: I20220922001359
Provider NameMnjuzi Duncan Nyirenda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497414684
PECOS PAC ID: 4082090022
Enrollment ID: I20220929000172
Provider NameCourtney R Greer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518557446
PECOS PAC ID: 5294105839
Enrollment ID: I20221223000423
Provider NameAvonne Deanne Dainton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477624054
PECOS PAC ID: 1759751217
Enrollment ID: I20221228002035
Provider NameDonna K Hollis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770018525
PECOS PAC ID: 3173800778
Enrollment ID: I20221228002118
Provider NameKatie Jo Rood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215690623
PECOS PAC ID: 8325409709
Enrollment ID: I20230801004081
Provider NameKamalpreet Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760995302
PECOS PAC ID: 8820442882
Enrollment ID: I20230925001464
Provider NameKayla Jo Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063191880
PECOS PAC ID: 8426407172
Enrollment ID: I20231207000889
Provider NameMona Elsalaymeh
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871975359
PECOS PAC ID: 8729438585
Enrollment ID: I20231220002493
Provider NameJohn A Buonocore
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1992801492
PECOS PAC ID: 6204881170
Enrollment ID: I20240118004271
Provider NameKimberly D Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740759042
PECOS PAC ID: 1254678782
Enrollment ID: I20240120000297
Provider NameMaryann N Van Hook
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275303679
PECOS PAC ID: 8527411396
Enrollment ID: I20240129000473
Provider NameSheree Itza
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124516257
PECOS PAC ID: 9133562572
Enrollment ID: I20240213001683
Provider NameAlexandra V Killingbeck
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1558879957
PECOS PAC ID: 9436584554
Enrollment ID: I20240216000429
Provider NameAngela Fowler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962860726
PECOS PAC ID: 9537503271
Enrollment ID: I20240221000963
Provider NameRaphilla D Dixie
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003465873
PECOS PAC ID: 6002254109
Enrollment ID: I20240409002975
Provider NameKelly M Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417609231
PECOS PAC ID: 6800338146
Enrollment ID: I20240603000976

Reviews and Comments


Internal Medicine in Evansville, IN

Deaconess Clinic I
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4506 1st Ave, Evansville, IN 47710
Phone: 812-428-6161    Fax: 812-421-2883
Deaconess Clinic - Memorial
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 645 Connie Robinson Way, Evansville, IN 47713
Phone: 812-450-8764    Fax: 124-012-1178
Doris Ann Best
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 958 S Kenmore Dr, Suite B, Evansville, IN 47714
Phone: 812-471-8503    
Deaconess Clinic Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725
Phone: 812-426-9565    Fax: 812-426-9572
Bellemeade Family Physicians
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Bellemeade Ave, Suite 200-b, Evansville, IN 47714
Phone: 812-485-3737    
Rick Crawford Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1202 W Buena Vista Rd, Suite 100, Evansville, IN 47710
Phone: 812-480-6698    Fax: 812-437-0037

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.