| Jerry Kenneth Pearson, MD | |
|
148 13th St, Suite B, Tell City, IN 47586-1937 | |
| (812) 547-0333 | |
| (812) 547-9852 |
| Full Name | Jerry Kenneth Pearson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 148 13th St, Tell City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043252166 | NPI | - | NPPES |
| M036898 | Other | MI | CHAMPUS PIN |
| 0540032 | Other | MI | BCBS |
| 103426138 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 071513 (Michigan) | Primary |
| Entity Name | Perry County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629621396 PECOS PAC ID: 6901871276 Enrollment ID: O20040909000009 |
| Entity Name | Perry County Family Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215928536 PECOS PAC ID: 6204867559 Enrollment ID: O20050825000962 |
| Entity Name | Perry County Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922393768 PECOS PAC ID: 9335319334 Enrollment ID: O20110831000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Kenneth Pearson, MD 109 Us Highway 66 E, Tell City, IN 47586-2755 Ph: (812) 547-3447 | Jerry Kenneth Pearson, MD 148 13th St, Suite B, Tell City, IN 47586-1937 Ph: (812) 547-0333 |
Gilbert Albert Field, DO Surgery Medicare: Medicare Enrolled Practice Location: 109 Us Highway 66 E, Tell City, IN 47586 Phone: 812-547-3447 Fax: 812-547-9543 |