| Jenna Nicole Sanders, MD | |
|
2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | |
| (812) 280-6623 | |
| (812) 280-6627 |
| Full Name | Jenna Nicole Sanders |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2051 Clevidence Blvd Ste C, Clarksville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437458114 | NPI | - | NPPES |
| 201249990 | Medicaid | IN | |
| 7100212230 | Medicaid | KY | |
| K298210 | Other | KY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 47001 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 01073708A (Indiana) | Primary |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326695255 PECOS PAC ID: 3779917596 Enrollment ID: O20200309001084 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Nicole Sanders, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Jenna Nicole Sanders, MD 2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 Ph: (812) 280-6623 |
Megan Elizabeth Psiones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 | |
Sally Jane Wheeler, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-280-6627 | |
Patricia A Morgan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 | |
Tresa V Ratterman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 | |
Jill S Howell-berg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-666-7688 | |
Leigh Ann Nieto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2051 Clevidence Blvd Ste C, Clarksville, IN 47129 Phone: 812-280-6623 Fax: 812-280-6632 |