| Jennings County Wellcare Pc | |
|
2200 N State Highway 7 North Vernon IN 47265-7192 | |
| (812) 346-4181 | |
| Not Available |
| Full Name | Jennings County Wellcare Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2200 N State Highway 7, North Vernon, Indiana |
| Authorized Official Name and Position | Bruce Phillips (CLINIC DIRECTOR) |
| Authorized Official Contact | 8123464181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennings County Wellcare Pc 2200 N State Highway 7 North Vernon IN 47265-7192 Ph: (812) 346-4181 | Jennings County Wellcare Pc 2200 N State Highway 7 North Vernon IN 47265-7192 Ph: (812) 346-4181 |
| NPI Number | 1194580886 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 6507203023 |
|---|---|
| Medicare Enrollment ID | O20240320001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194580886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Michelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194477588 PECOS PAC ID: 4789064551 Enrollment ID: I20220711002343 |
St. Vincent Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, Building B, North Vernon, IN 47265 Phone: 812-352-4300 | |
St. Vincent Physician Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, Bldg B, North Vernon, IN 47265 Phone: 812-352-4300 | |
Jennings Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
Schneck Family Care Of Jennings County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2145 N. State Hwy 3, North Vernon, IN 47265 Phone: 812-346-6010 Fax: 812-346-6585 | |
Ascension Medical Group St. Vincent Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
My Health Center At Lowe's N Vernon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 W Jfk Dr, North Vernon, IN 47265 Phone: 812-346-9441 Fax: 812-346-9493 |