| Julie A Hurlock, MD | |
|
4111 Gateway Blvd, Newburgh, IN 47630-8954 | |
| (812) 853-5300 | |
| (812) 858-4660 |
| Full Name | Julie A Hurlock |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4111 Gateway Blvd, Newburgh, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093718405 | NPI | - | NPPES |
| 200245950 | Medicaid | IN | |
| 000000109142 | Other | IN | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01051322A (Indiana) | Primary |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie A Hurlock, MD Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 853-5300 | Julie A Hurlock, MD 4111 Gateway Blvd, Newburgh, IN 47630-8954 Ph: (812) 853-5300 |
Kenneth Herrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 |
Michelle Renee Estep, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-3880 Fax: 812-842-3916 |
Barry S Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 |
Rangassamy Meibalane, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-4280 Fax: 812-842-4580 |
Maria C Ranola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-450-6815 Fax: 812-450-6822 |
Mr. Tolani Are, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2000 |
Teresa L Martelli, Pediatrics Medicare: Medicare Enrolled Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630 Phone: 812-853-5300 Fax: 812-858-4660 |