Evansville Multi-specialty Clinic, Pc | |
6140 E Columbia St Evansville IN 47715-9133 | |
(812) 475-1948 | |
(812) 401-5777 |
Full Name | Evansville Multi-specialty Clinic, Pc |
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Speciality | Internal Medicine |
Location | 6140 E Columbia St, Evansville, Indiana |
Authorized Official Name and Position | Lotfi Hadad (OWNER) |
Authorized Official Contact | 8124751948 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evansville Multi-specialty Clinic, Pc Po Box 5646 Evansville IN 47716-5646 Ph: (812) 475-1948 | Evansville Multi-specialty Clinic, Pc 6140 E Columbia St Evansville IN 47715-9133 Ph: (812) 475-1948 |
NPI Number | 1790730612 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 02/01/2024 |
Medicare PECOS PAC ID | 3779597976 |
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Medicare Enrollment ID | O20060126000624 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790730612 | NPI | - | NPPES |
200806260A | Medicaid | IN | |
000000391682 | Other | IN | BLUE CROSS |
Provider Name | Lotfi Hadad |
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Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1952362477 PECOS PAC ID: 6103723705 Enrollment ID: I20040623001672 |
Provider Name | Doris A Best |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659303014 PECOS PAC ID: 9335191931 Enrollment ID: I20050211000210 |
Provider Name | Dennis C Myers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134123995 PECOS PAC ID: 7719058312 Enrollment ID: I20080624000791 |
Provider Name | Teresa Elaine Stephens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578835922 PECOS PAC ID: 1355509688 Enrollment ID: I20120216000128 |
Provider Name | Chelsea M Cummins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992109631 PECOS PAC ID: 0446573877 Enrollment ID: I20141216001114 |
Provider Name | Rebecca L Nance |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295138949 PECOS PAC ID: 5698098424 Enrollment ID: I20141230001879 |
Provider Name | Denise King Kidder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184003501 PECOS PAC ID: 5799096996 Enrollment ID: I20150714001406 |
Provider Name | Deborah A Bedwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376901058 PECOS PAC ID: 8820394471 Enrollment ID: I20160309000281 |
Provider Name | Michelle L Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982053385 PECOS PAC ID: 7012203516 Enrollment ID: I20160909000811 |
Provider Name | Karie Ann Conapinski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134601214 PECOS PAC ID: 7113277088 Enrollment ID: I20180914000134 |
Provider Name | Melanie Mccarty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225519432 PECOS PAC ID: 6406196500 Enrollment ID: I20190328000608 |
Provider Name | Lisa Bridwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902427917 PECOS PAC ID: 9830511351 Enrollment ID: I20200714000566 |
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Cleanslate Medical Group Of Indiana Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4411 Washington Ave Ste 105, Evansville, IN 47714 Phone: 812-213-0304 |