<unavail> in Petersburg, IN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Petersburg, Indiana. The current practice location for is 1814 E State Road 56 Fl 1, Petersburg, Indiana. For appointments, you can reach them via phone at (812) 494-9514. The mailing address for is Po Box 556, Vincennes, Indiana and phone number is (812) 494-9501.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528823762. 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) 494-9514.

Contact Information


	1814 E State Road 56 Fl 1 Petersburg IN 47567-8378
	(812) 494-9514
	(812) 494-9515

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1814 E State Road 56 Fl 1, Petersburg, Indiana
Authorized Official Name and Position	Jennifer Emmons (CEO)
Authorized Official Contact	8124949501
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 556 Vincennes IN 47591-0556 Ph: (812) 494-9501	1814 E State Road 56 Fl 1 Petersburg IN 47567-8378 Ph: (812) 494-9514

NPI Details:

NPI Number	1528823762
Provider Enumeration Date	02/16/2024
Last Update Date	05/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5294099321
Medicare Enrollment ID	O20241119000895

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528823762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Petersburg, IN

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 E Main St, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134
Good Samaritan Hospital Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St, Suite 110, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 E Illinois St, Petersburg, IN 47567 Phone: 812-354-3458 Fax: 812-354-3459
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Pike Ave, Petersburg, IN 47567 Phone: 812-354-1052 Fax: 812-354-8280
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 E State Road 56, Petersburg, IN 47567 Phone: 810-494-9515 Fax: 812-494-9514
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St Ste 110, Petersburg, IN 47567 Phone: 812-354-8785 Fax: 812-354-8786

- Medicare Primary Care in Petersburg, IN