Jessica Elizabeth Moll, | |
3700 Washington Ave Ste 2200, Evansville, IN 47714-0541 | |
(812) 485-7111 | |
Not Available |
Full Name | Jessica Elizabeth Moll |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 3700 Washington Ave Ste 2200, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790345478 | NPI | - | NPPES |
5151013630 | Other | MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 02007346A (Indiana) | Primary |
207V00000X | Obstetrics & Gynecology | 5151013630 (Michigan) | Secondary |
Entity Name | St Marys Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
Mailing Address | Practice Location Address |
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Jessica Elizabeth Moll, 3700 Washington Ave Ste 2200, Evansville, IN 47714-0541 Ph: () - | Jessica Elizabeth Moll, 3700 Washington Ave Ste 2200, Evansville, IN 47714-0541 Ph: (812) 485-7111 |
Allison R Melton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave Ste 2200, Evansville, IN 47714 Phone: 812-485-7111 | |
Mrs. Donna C Sweets, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 801 Saint Marys Dr, Suite 309e, Evansville, IN 47714 Phone: 812-485-1850 Fax: 812-485-1855 | |
Christine M Riley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Suite 2200, Evansville, IN 47714 Phone: 812-485-7111 Fax: 812-485-7919 | |
Deangela Lynn Crutcher, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Ste 2200, Evansville, IN 47714 Phone: 812-485-7111 Fax: 812-485-7919 | |
Dr. Regina Elizabeth Auth, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Saint Marys Medical Ctr, 3700 Washington Avenue, Evansville, IN 47750 Phone: 812-485-1894 | |
Dr. Nelson Vere Graham Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 801 Saint Marys Dr, Suite 201 East, Evansville, IN 47714 Phone: 812-475-8975 Fax: 812-471-8322 | |
Dr. John Michael Reid, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 Bellemeade Ave Ste 121, Evansville, IN 47714 Phone: 812-475-8975 Fax: 812-471-8322 |