| Tribbett Family Medicine, Llc | |
|
301 W Harrison St Monticello IN 47960-2211 | |
| (574) 240-1111 | |
| (574) 240-1113 |
| Full Name | Tribbett Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 W Harrison St, Monticello, Indiana |
| Authorized Official Name and Position | Charles R Tribbett (OWNER) |
| Authorized Official Contact | 5742401111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribbett Family Medicine, Llc 301 W Harrison St Monticello IN 47960-2211 Ph: (574) 240-1111 | Tribbett Family Medicine, Llc 301 W Harrison St Monticello IN 47960-2211 Ph: (574) 240-1111 |
| NPI Number | 1427416361 |
|---|---|
| Provider Enumeration Date | 02/06/2016 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 5395653687 |
|---|---|
| Medicare Enrollment ID | O20160425002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427416361 | NPI | - | NPPES |
| 100262800 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036854A (Indiana) | Primary |
| Provider Name | Charles Tribbett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164404893 PECOS PAC ID: 2769391465 Enrollment ID: I20100805000043 |
| Provider Name | Kassie Anne Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730969593 PECOS PAC ID: 5991153108 Enrollment ID: I20231129001183 |
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