Wall Street Medical Group | |
443 Spring St Ste 200 Jeffersonville IN 47130-4494 | |
(812) 288-8360 | |
(812) 288-8375 |
Full Name | Wall Street Medical Group |
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Speciality | Internal Medicine |
Location | 443 Spring St Ste 200, Jeffersonville, Indiana |
Authorized Official Name and Position | Muhammad I Masroor (OWNER) |
Authorized Official Contact | 8122888360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wall Street Medical Group 443 Spring St Ste 200 Jeffersonville IN 47130-4494 Ph: (812) 288-8360 | Wall Street Medical Group 443 Spring St Ste 200 Jeffersonville IN 47130-4494 Ph: (812) 288-8360 |
NPI Number | 1922337617 |
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Provider Enumeration Date | 12/09/2009 |
Last Update Date | 07/17/2024 |
Medicare PECOS PAC ID | 1557380086 |
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Medicare Enrollment ID | O20080821000664 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922337617 | NPI | - | NPPES |
300025251 | Medicaid | IN |
Provider Name | Jose Bada |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063595452 PECOS PAC ID: 5193791713 Enrollment ID: I20040909000733 |
Provider Name | Agnes Capili Bacala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205891744 PECOS PAC ID: 7517971419 Enrollment ID: I20060131000220 |
Provider Name | Virginia Lee Nisbet |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053441444 PECOS PAC ID: 7416967575 Enrollment ID: I20060503000688 |
Provider Name | Muhammad I Masroor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043216971 PECOS PAC ID: 5092734525 Enrollment ID: I20080821000662 |
Provider Name | Amy N Ledford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790126696 PECOS PAC ID: 5294977047 Enrollment ID: I20130919000757 |
Provider Name | Brooke A Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598105660 PECOS PAC ID: 1456595636 Enrollment ID: I20131015000175 |
Provider Name | Tina M Woodrome-nethery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962759274 PECOS PAC ID: 4183872021 Enrollment ID: I20140326002168 |
Provider Name | Stacy M Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588023675 PECOS PAC ID: 7618272733 Enrollment ID: I20160226000491 |
Provider Name | Vanessa H Higgins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235594383 PECOS PAC ID: 4880983527 Enrollment ID: I20160518002517 |
Provider Name | Jeremy L Wilt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043689672 PECOS PAC ID: 7618239070 Enrollment ID: I20180322001684 |
Provider Name | Brittany D Clunie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427546373 PECOS PAC ID: 9436413309 Enrollment ID: I20180430001476 |
Provider Name | Amanda J Jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922561653 PECOS PAC ID: 8022350966 Enrollment ID: I20190712001593 |
Provider Name | Michelle L Vissing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740849637 PECOS PAC ID: 0941537906 Enrollment ID: I20190814000354 |
Provider Name | Kayla Rushing |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073270161 PECOS PAC ID: 7810387990 Enrollment ID: I20211203000876 |
Provider Name | Joanna L Gullion |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669142477 PECOS PAC ID: 1153711874 Enrollment ID: I20211210001671 |
Provider Name | Trista Bodenstadt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205597515 PECOS PAC ID: 4284026840 Enrollment ID: I20220112000921 |
Provider Name | Megan Horvath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073222030 PECOS PAC ID: 0648640383 Enrollment ID: I20221221001947 |
Physician's Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 E 10th St, Jeffersonville, IN 47130 Phone: 812-288-2488 Fax: 812-288-6603 | |
Crossover Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Patrol Rd, Jeffersonville, IN 47130 Phone: 949-891-0328 | |
Jeffersonville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Wall St, Suite 204, Jeffersonville, IN 47130 Phone: 812-288-8410 Fax: 812-288-8409 | |
Shaze Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130 Phone: 812-282-2218 Fax: 812-282-2252 | |
Viverant Integrative Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 335 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-255-1699 | |
Clark County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Wall Street, Jeffersonville, IN 47130 Phone: 812-282-7521 Fax: 812-288-2711 | |
Havens Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Sparks Avenue, Suite 200, Jeffersonville, IN 47130 Phone: 812-283-4441 Fax: 812-288-2605 |