Midwest Internal Medicine Pc | |
1750 Oak Hill Rd Suite 100 Evansville IN 47711-4364 | |
(812) 424-4602 | |
(812) 421-5147 |
Full Name | Midwest Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 1750 Oak Hill Rd, Evansville, Indiana |
Authorized Official Name and Position | Robert L Rusche (PRESIDENT/OWNER) |
Authorized Official Contact | 8124244602 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Midwest Internal Medicine Pc Po Box 1230 Evansville IN 47706-1230 Ph: (812) 424-4602 | Midwest Internal Medicine Pc 1750 Oak Hill Rd Suite 100 Evansville IN 47711-4364 Ph: (812) 424-4602 |
NPI Number | 1285622241 |
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Provider Enumeration Date | 10/12/2005 |
Last Update Date | 03/31/2015 |
Medicare PECOS PAC ID | 7810933801 |
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Medicare Enrollment ID | O20050629001079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285622241 | NPI | - | NPPES |
100242780A | Medicaid | IN | |
CG5098 | Other | IN | RR MCARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Robert L Rusche |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437152808 PECOS PAC ID: 9133165129 Enrollment ID: I20091228000106 |
Provider Name | Nathan A Riley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316182934 PECOS PAC ID: 2668539982 Enrollment ID: I20121004000017 |
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