| Physician Management Services Of Western Indiana, Llc | |
|
1231 Washington Sq Evansville IN 47715-6807 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of Western Indiana, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1231 Washington Sq, Evansville, Indiana |
| Authorized Official Name and Position | Casey Deloach (MANAGER) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Western Indiana, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (888) 829-8550 | Physician Management Services Of Western Indiana, Llc 1231 Washington Sq Evansville IN 47715-6807 Ph: (888) 829-8550 |
| NPI Number | 1497107775 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Medicare PECOS PAC ID | 7214263227 |
|---|---|
| Medicare Enrollment ID | O20190730000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497107775 | NPI | - | NPPES |
| PHC059 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01050928A (Indiana) | Primary |
Deaconess Clinic I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4506 1st Ave, Evansville, IN 47710 Phone: 812-428-6161 Fax: 812-421-2883 | |
Deaconess Clinic - Memorial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Connie Robinson Way, Evansville, IN 47713 Phone: 812-450-8764 Fax: 124-012-1178 | |
Doris Ann Best Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 958 S Kenmore Dr, Suite B, Evansville, IN 47714 Phone: 812-471-8503 | |
Deaconess Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-426-9565 Fax: 812-426-9572 | |
Bellemeade Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 Bellemeade Ave, Suite 200-b, Evansville, IN 47714 Phone: 812-485-3737 | |
Rick Crawford Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Buena Vista Rd, Suite 100, Evansville, IN 47710 Phone: 812-480-6698 Fax: 812-437-0037 | |
Cleanslate Medical Group Of Indiana Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4411 Washington Ave Ste 105, Evansville, IN 47714 Phone: 812-213-0304 |