| Medihealth Primary Care Llc | |
|
2345 W Franklin St Ste 102 Evansville IN 47712-5100 | |
| (812) 270-9903 | |
| Not Available |
| Full Name | Medihealth Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2345 W Franklin St Ste 102, Evansville, Indiana |
| Authorized Official Name and Position | Hubert Reyes (OWNER) |
| Authorized Official Contact | 8122709903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medihealth Primary Care Llc 2345 W Franklin St Ste 102 Evansville IN 47712-5100 Ph: (812) 598-9434 | Medihealth Primary Care Llc 2345 W Franklin St Ste 102 Evansville IN 47712-5100 Ph: (812) 270-9903 |
| NPI Number | 1083213607 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 06/29/2021 |
| Medicare PECOS PAC ID | 2860803350 |
|---|---|
| Medicare Enrollment ID | O20201207000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083213607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Hubert Sulit Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497957526 PECOS PAC ID: 5193825461 Enrollment ID: I20070716000550 |
| Provider Name | Cynthia Kay Kiesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558405753 PECOS PAC ID: 6406941186 Enrollment ID: I20070927000061 |
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