| Sheets Family Practice P.c. Inc. | |
|
123 S Mckinley Ave Rensselaer IN 47978-2949 | |
| (219) 866-1890 | |
| (219) 866-1871 |
| Full Name | Sheets Family Practice P.c. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 123 S Mckinley Ave, Rensselaer, Indiana |
| Authorized Official Name and Position | Patrick J Sheets (OWNER) |
| Authorized Official Contact | 2198661890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheets Family Practice P.c. Inc. 123 S Mckinley Ave Rensselaer IN 47978-2949 Ph: (219) 866-1890 | Sheets Family Practice P.c. Inc. 123 S Mckinley Ave Rensselaer IN 47978-2949 Ph: (219) 866-1890 |
| NPI Number | 1134538234 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 11/22/2022 |
| Medicare PECOS PAC ID | 8123240975 |
|---|---|
| Medicare Enrollment ID | O20141111000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134538234 | NPI | - | NPPES |
| 200327490B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick J Sheets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396704268 PECOS PAC ID: 6608840327 Enrollment ID: I20040819001220 |
| Provider Name | Ann Michelle Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679532139 PECOS PAC ID: 5597799841 Enrollment ID: I20050926000612 |
| Provider Name | Scott A Williams |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508992140 PECOS PAC ID: 3678623790 Enrollment ID: I20090611000472 |
| Provider Name | Garry Lee Brady |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457513764 PECOS PAC ID: 5799931705 Enrollment ID: I20140509001308 |
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