St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se - Medicare Primary Care in Terre Haute, IN

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St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se is a medicare enrolled primary clinic (Clinic/center) in Terre Haute, Indiana. The current practice location for St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se is 1436 Locust Street, Terre Haute, Indiana. For appointments, you can reach them via phone at (812) 232-7447. The mailing address for St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se is 1436 Locust Street, Terre Haute, Indiana and phone number is (812) 232-7447.

St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891044681. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 232-7447.

Contact Information

St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se
1436 Locust Street
Terre Haute
IN 47807-1648
(812) 232-7447
(812) 232-6962

Map and Direction


Primary Care Clinic Profile

Full NameSt. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se
SpecialityClinic/Center
Location1436 Locust Street, Terre Haute, Indiana
Authorized Official Name and PositionPeter Cook Ciancone (PRESIDENT OF THE BOARD OF DIRECTORS)
Authorized Official Contact8122406056
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se
1436 Locust Street
Terre Haute
IN 47807-1648

Ph: (812) 232-7447		St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se
1436 Locust Street
Terre Haute
IN 47807-1648

Ph: (812) 232-7447

NPI Details:

NPI Number1891044681
Provider Enumeration Date09/07/2012
Last Update Date06/29/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4880848530
Medicare Enrollment IDO20130204000433

Medical Identifiers

Medical identifiers for St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891044681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se acts as a billing entity for following providers:
Provider NameMark D Crowley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568442481
PECOS PAC ID: 4789657933
Enrollment ID: I20040816001048
Provider NameCristina L Werremeyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376577866
PECOS PAC ID: 1254360134
Enrollment ID: I20050810001260
Provider NameJessy G Woods
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427275353
PECOS PAC ID: 6608977327
Enrollment ID: I20070725000472
Provider NameBrooke A Kempf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316257645
PECOS PAC ID: 1759570468
Enrollment ID: I20110112000158
Provider NameMelinda S Hendrix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114391281
PECOS PAC ID: 9830489228
Enrollment ID: I20160525002893
Provider NameKimberly Beth Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629118195
PECOS PAC ID: 8325096217
Enrollment ID: I20171226001198
Provider NameEmily S Owens
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174038889
PECOS PAC ID: 3274894688
Enrollment ID: I20180228000262
Provider NameMelissa Burns
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285190041
PECOS PAC ID: 9537409115
Enrollment ID: I20190318001728
Provider NameKatie Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710522008
PECOS PAC ID: 1658700737
Enrollment ID: I20200413000681
Provider NameLesli Bose
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376165258
PECOS PAC ID: 7517388705
Enrollment ID: I20200526000558
Provider NameBeth Frederick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699371500
PECOS PAC ID: 8426463043
Enrollment ID: I20210212000595
Provider NameMiranda Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215647375
PECOS PAC ID: 6901260710
Enrollment ID: I20230913000281

Reviews and Comments


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Phone: 812-242-3005    Fax: 812-242-3034

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.