Alisha Renee Stiles, CPNP-PC | |
1614 25th St, Bedford, IN 47421-5000 | |
(812) 277-0118 | |
(812) 277-0127 |
Full Name | Alisha Renee Stiles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1614 25th St, Bedford, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710544093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 28196456A (Indiana) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 71009031A (Indiana) | Primary |
Entity Name | Southern Indiana Pediatrics,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417921933 PECOS PAC ID: 7517859333 Enrollment ID: O20040326000820 |
Mailing Address | Practice Location Address |
---|---|
Alisha Renee Stiles, CPNP-PC 1614 25th St, Bedford, IN 47421-5000 Ph: (812) 277-0118 | Alisha Renee Stiles, CPNP-PC 1614 25th St, Bedford, IN 47421-5000 Ph: (812) 277-0118 |
Stephanie Ann Mason, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331 | |
Jamie R Bohnke, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Mrs. Alyssa Brooke Kellams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2418 16th St, Bedford, IN 47421 Phone: 812-508-8683 | |
Barbara Deich, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-5352 Fax: 812-275-1374 | |
Mrs. Amanda Sue Bowman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2516 Q St, Bedford, IN 47421 Phone: 812-275-4228 | |
Cathern Amanda Pruett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Holly L Russell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1200 |