| Dr Christie M Reagan, MD | |
|
1116 Millis Ave, Suite 201a, Boonville, IN 47601-2204 | |
| (812) 897-7381 | |
| (812) 897-7331 |
| Full Name | Dr Christie M Reagan |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 1116 Millis Ave, Boonville, 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 |
|---|---|---|---|
| 1447298971 | NPI | - | NPPES |
| 000000339553 | Other | IN | ANTHEM PROVIDER# |
| 200493800 | Medicaid | IN | |
| 100180890F | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01059425A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01059425A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Evansville, IN | Home health agency |
| Ascension St Vincent Warrick | Boonville, IN | Hospital |
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Medical Group Llc | 1153493341 | 219 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | St Marys Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christie M Reagan, MD 1116 Millis Ave Ste 101, Boonville, IN 47601-2226 Ph: () - | Dr Christie M Reagan, MD 1116 Millis Ave, Suite 201a, Boonville, IN 47601-2204 Ph: (812) 897-7381 |
Rick Yeager, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1116 Millis Ave, Boonville, IN 47601 Phone: 812-897-4800 Fax: 812-897-7375 | |
David Vaughn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1116 Millis Ave, Boonville, IN 47601 Phone: 812-897-4800 Fax: 812-897-7375 | |
Josel V Mijares, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1116 Millis Ave, Boonville, IN 47601 Phone: 812-897-7383 |