Jennifer R Mcdonner, PH D | |
4411 Washington Ave, Ste. 200, Evansville, IN 47714-0805 | |
(812) 479-1916 | |
(812) 479-5014 |
Full Name | Jennifer R Mcdonner |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 4411 Washington Ave, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447485073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20042388A (Indiana) | Primary |
Entity Name | State Of Indiana Auditor Of State |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564 |
Mailing Address | Practice Location Address |
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Jennifer R Mcdonner, PH D 4411 Washington Ave, Ste. 200, Evansville, IN 47714-0805 Ph: (812) 479-1916 | Jennifer R Mcdonner, PH D 4411 Washington Ave, Ste. 200, Evansville, IN 47714-0805 Ph: (812) 479-1916 |
Dr. Stacy J Blankenbuehler, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9779 Fax: 812-426-6610 | |
Michelle E Mastin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694 | |
Brian Thomas Longwell, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9862 Fax: 812-426-9779 | |
Prof. Nannette Stump, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-5612 Fax: 812-485-5628 | |
Dr. John F Ireland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 N Green River Rd, Suite 910, Evansville, IN 47715 Phone: 812-479-1916 Fax: 812-479-5014 | |
Ms. Dawn Shaner Gable, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 819 W Franklin St, Evansville, IN 47710 Phone: 812-491-1805 Fax: 812-491-1929 | |
Dr. Larry Dale Archer, CLINICAL PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Evansville Va Health Care Center, 6211 E. Waterford Blvd., Evansville, IN 47715 Phone: 812-465-6202 |