Indiana Exceptional Medical Care | |
4972 Lincoln Ave Ste #101 Evansville IN 47715-7909 | |
(812) 402-3700 | |
(812) 402-4611 |
Full Name | Indiana Exceptional Medical Care |
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Speciality | Internal Medicine |
Location | 4972 Lincoln Ave, Evansville, Indiana |
Authorized Official Name and Position | Arin Mcmanaway (OFFICE MANAGER) |
Authorized Official Contact | 8124024645 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Indiana Exceptional Medical Care 4972 Lincoln Ave Ste #101 Evansville IN 47715-7909 Ph: (812) 402-3700 | Indiana Exceptional Medical Care 4972 Lincoln Ave Ste #101 Evansville IN 47715-7909 Ph: (812) 402-3700 |
NPI Number | 1669708756 |
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Provider Enumeration Date | 10/23/2009 |
Last Update Date | 04/28/2017 |
Medicare PECOS PAC ID | 8527241488 |
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Medicare Enrollment ID | O20110330000661 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669708756 | NPI | - | NPPES |
1043282627 | Other | INDIVIDUAL NPI | |
200807410A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | 01061287A (Indiana) | Primary |
Provider Name | Bachar Y Malek |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043282627 PECOS PAC ID: 9537177605 Enrollment ID: I20060331000034 |
Provider Name | Kayce Wahl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598107666 PECOS PAC ID: 1153556766 Enrollment ID: I20131106000664 |
Provider Name | Shawna E Haywood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710386214 PECOS PAC ID: 0042533184 Enrollment ID: I20141222002555 |
Provider Name | Penny Altman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558742197 PECOS PAC ID: 0749581163 Enrollment ID: I20151209000120 |
Provider Name | Amber L Graber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649649781 PECOS PAC ID: 2668779596 Enrollment ID: I20160321001470 |
Provider Name | Manda Hess |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194197566 PECOS PAC ID: 0749563526 Enrollment ID: I20170202001264 |
Provider Name | De'yonna C Kendrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184144503 PECOS PAC ID: 8921371568 Enrollment ID: I20170905000097 |
Provider Name | Meagan Sue Malek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487158432 PECOS PAC ID: 3577884253 Enrollment ID: I20180420000935 |
Provider Name | Megan Ann Seifert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609363852 PECOS PAC ID: 5890042477 Enrollment ID: I20180730000001 |
Provider Name | Krista R Hollingsworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497248850 PECOS PAC ID: 2961750831 Enrollment ID: I20180809000352 |
Provider Name | Chelsea Driscoll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457830465 PECOS PAC ID: 9133479306 Enrollment ID: I20180910001109 |
Provider Name | Aisha S Havill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235779620 PECOS PAC ID: 0446688386 Enrollment ID: I20200307000168 |
Provider Name | Lisa Bridwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902427917 PECOS PAC ID: 9830511351 Enrollment ID: I20200714000566 |
Provider Name | Haley Daniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205441532 PECOS PAC ID: 2769894724 Enrollment ID: I20201215003218 |
Provider Name | Alyss Lcsw Schoenbaechler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568941888 PECOS PAC ID: 3274945969 Enrollment ID: I20201222002755 |
Provider Name | Emily K Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962095745 PECOS PAC ID: 7113334327 Enrollment ID: I20210721003808 |
Provider Name | Jessica Lynn Anglin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104438902 PECOS PAC ID: 0042623597 Enrollment ID: I20211018001747 |
Provider Name | Desiree Fawn Craig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962167551 PECOS PAC ID: 3870982028 Enrollment ID: I20211110000943 |
Provider Name | Ashley Utley Lawing |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487141669 PECOS PAC ID: 7719335207 Enrollment ID: I20231121003488 |
Provider Name | Lauren Herr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407570864 PECOS PAC ID: 9739526468 Enrollment ID: I20240318001604 |
Provider Name | Sarah Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427652668 PECOS PAC ID: 8729491766 Enrollment ID: I20240529001878 |
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