| Ascension St. Vincent Kokomo Services | |
|
1907 W Sycamore St Kokomo IN 46901-5148 | |
| (765) 456-5433 | |
| Not Available |
| Full Name | Ascension St. Vincent Kokomo Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1907 W Sycamore St, Kokomo, Indiana |
| Authorized Official Name and Position | Brian Morris (CFO (AMG)) |
| Authorized Official Contact | 3173386234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension St. Vincent Kokomo Services 3109 W Sycamore St Kokomo IN 46901-4181 Ph: (765) 457-8381 | Ascension St. Vincent Kokomo Services 1907 W Sycamore St Kokomo IN 46901-5148 Ph: (765) 456-5433 |
| NPI Number | 1982736377 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 5294700274 |
|---|---|
| Medicare Enrollment ID | O20040901000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982736377 | NPI | - | NPPES |
| 200312000 | Medicaid | IN | |
| 000000183506 | Other | IN | BLUE CROSS BLUE SHIELD |
| Provider Name | Linda J Zynger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245342401 PECOS PAC ID: 5597679001 Enrollment ID: I20031118000947 |
| Provider Name | Heath Amatus Spence |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902857162 PECOS PAC ID: 6800877200 Enrollment ID: I20040529000105 |
| Provider Name | Alexander S Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417988270 PECOS PAC ID: 5395773626 Enrollment ID: I20050728000769 |
| Provider Name | Lesley N Adibe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285775734 PECOS PAC ID: 7214903871 Enrollment ID: I20080321000178 |
| Provider Name | David Larry Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750391918 PECOS PAC ID: 6608830427 Enrollment ID: I20081222000296 |
| Provider Name | Stanton M Angermeier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417939554 PECOS PAC ID: 6608872965 Enrollment ID: I20101207001305 |
| Provider Name | Susan Jo Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215234752 PECOS PAC ID: 2860675071 Enrollment ID: I20110325000367 |
| Provider Name | Panchapakesan Pranatharthi Haran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467473330 PECOS PAC ID: 5193741353 Enrollment ID: I20110405000047 |
| Provider Name | Elizabeth Renee Tentler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154647998 PECOS PAC ID: 4880811405 Enrollment ID: I20140805002489 |
| Provider Name | Jonathan Thomas Rybolt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780941542 PECOS PAC ID: 9032343017 Enrollment ID: I20160608001675 |
| Provider Name | Amy Hueston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558905554 PECOS PAC ID: 9133552649 Enrollment ID: I20191213000348 |
| Provider Name | Danny Resser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225086838 PECOS PAC ID: 3476514928 Enrollment ID: I20200820000645 |
| Provider Name | Jonathan Holmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821552993 PECOS PAC ID: 7012256399 Enrollment ID: I20210310001054 |
| Provider Name | Jeffrey Nicholas Brentin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598256448 PECOS PAC ID: 5991050833 Enrollment ID: I20220607002594 |
Community Howard Physician Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 317-621-9312 | |
Eric J. Heathers Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3508 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-5704 Fax: 765-864-5720 | |
Medical Surgical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Reynolds Dr, Kokomo, IN 46902 Phone: 765-453-0802 Fax: 765-455-4258 | |
Med One Of St Joseph Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Clinton Dr, Kokomo, IN 46902 Phone: 765-453-8800 Fax: 765-457-4443 | |
Sycamore Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3109 W Sycamore St, Kokomo, IN 46901 Phone: 765-457-8381 Fax: 765-457-4443 | |
Indiana Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 | |
Navjot Singh Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3611 S Reed Rd, Suite 211, Kokomo, IN 46902 Phone: 765-864-5784 Fax: 765-864-5785 |