Martha F Yearsley M.d. Professional Corporation | |
1005 Dorbett St Jasper IN 47546-2619 | |
(812) 482-5700 | |
(812) 481-1045 |
Full Name | Martha F Yearsley M.d. Professional Corporation |
---|---|
Speciality | Internal Medicine |
Location | 1005 Dorbett St, Jasper, Indiana |
Authorized Official Name and Position | Martha Yearsley (OWNER) |
Authorized Official Contact | 8124825700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Martha F Yearsley M.d. Professional Corporation 1005 Dorbett St Jasper IN 47546-2619 Ph: (812) 482-5700 | Martha F Yearsley M.d. Professional Corporation 1005 Dorbett St Jasper IN 47546-2619 Ph: (812) 482-5700 |
NPI Number | 1265767909 |
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Provider Enumeration Date | 10/14/2009 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 8325183387 |
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Medicare Enrollment ID | O20100303000046 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265767909 | NPI | - | NPPES |
100414290B | Medicaid | IN | |
990007893 | Other | IN | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01042841A (Indiana) | Primary |
208000000X | Pediatrics | 01042841A (Indiana) | Secondary |
Provider Name | Martha F Yearsley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386618007 PECOS PAC ID: 1153235569 Enrollment ID: I20100303000040 |
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