| Barry S Phillips, MD | |
|
4111 Gateway Blvd, Newburgh, IN 47630-8954 | |
| (812) 853-5300 | |
| (812) 858-4660 |
| Full Name | Barry S Phillips |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4111 Gateway Blvd, Newburgh, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124021571 | NPI | - | NPPES |
| 200095900 | Medicaid | IN | |
| 000000067636 | Other | IN | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01044946A (Indiana) | Primary |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry S Phillips, MD Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 853-5300 | Barry S Phillips, MD 4111 Gateway Blvd, Newburgh, IN 47630-8954 Ph: (812) 853-5300 |
Kenneth Herrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Michelle Renee Estep, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-3880 Fax: 812-842-3916 | |
Julie A Hurlock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 | |
Rangassamy Meibalane, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 | |
Maria C Ranola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-450-6815 Fax: 812-450-6822 | |
Teresa L Martelli, Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 |