| Dr Allie E Thomas-fannin, MD | |
|
121 Buntin St, Suite #1, Vincennes, IN 47591-1320 | |
| (812) 885-2718 | |
| (812) 885-2727 |
| Full Name | Dr Allie E Thomas-fannin |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 13 Years |
| Location | 121 Buntin St, Vincennes, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942566708 | NPI | - | NPPES |
| 201364350 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01076813A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Hospital | 9436061918 | 12 |
| Axis Healthcare Group | 1254409550 | 51 |
| Axis Healthcare Group | 1254409550 | 51 |
| Entity Name | Good Samaritan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639176373 PECOS PAC ID: 9436061918 Enrollment ID: O20031204000723 |
| Entity Name | Good Samaritan Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174031256 PECOS PAC ID: 5294099321 Enrollment ID: O20190219002426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allie E Thomas-fannin, MD 515 Bayou St, Vincennes, IN 47591-1034 Ph: (812) 886-6800 | Dr Allie E Thomas-fannin, MD 121 Buntin St, Suite #1, Vincennes, IN 47591-1320 Ph: (812) 885-2718 |
Dr. Silpa Kamisetti, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 121 Buntin St Ste 1, Vincennes, IN 47591 Phone: 812-885-8622 Fax: 812-885-8621 | |
Justin Sean Johnson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3228 | |
Leah Elizabeth Vanblaricum, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 121 Buntin St, Vincennes, IN 47591 Phone: 812-885-3228 | |
Zane Nathaniel Bartlett, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3228 Fax: 812-885-3089 | |
Sarah Jane Elizabeth Fisher, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3228 Fax: 812-885-3089 | |
Ms. Rebecca Noel Hall, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 121 Buntin St, Vincennes, IN 47591 Phone: 812-885-3228 | |
Mohammad Ummer Qureshi, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 121 Buntin St, Vincennes, IN 47591 Phone: 812-855-8622 |