| Kenneth M Spicklemire, MD | |
|
4601 S 7th St, Terre Haute, IN 47802-4522 | |
| (812) 232-3281 | |
| (812) 235-3758 |
| Full Name | Kenneth M Spicklemire |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4601 S 7th St, Terre Haute, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548370570 | NPI | - | NPPES |
| 100250990R | Medicaid | IN | |
| 000000089619 | Other | ANTHEM | |
| 100250990 | Medicaid | IN | |
| P00834942 | Other | IN | RAILROAD MEDICARE |
| 080000130 | Other | RAILROAD MCARE PALAMETTO | |
| 100250990Q | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01028691A (Indiana) | Primary |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M Spicklemire, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 232-3281 | Kenneth M Spicklemire, MD 4601 S 7th St, Terre Haute, IN 47802-4522 Ph: (812) 232-3281 |
Christopher Fitzsimmons, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 N 7th St, Suite 200, Terre Haute, IN 47807 Phone: 812-238-7631 | |
Anna M Zimmerman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1739 N 4th St, Terre Haute, IN 47804 Phone: 812-242-3600 Fax: 812-242-3620 | |
Dr. Grace Lee Walker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 476 Buckeye St, Terre Haute, IN 47804 Phone: 812-232-2683 Fax: 812-877-4620 | |
Marcia L Favali, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 S 6th St, Terre Haute, IN 47807 Phone: 812-242-3120 Fax: 812-242-3846 | |
Nancy Lynn Breitweiser, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1513 N 6th 1/2 St, Terre Haute, IN 47807 Phone: 812-238-7631 Fax: 812-238-7003 | |
Dr. Patrick Alexander Bergin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1739 N 4th St, Terre Haute, IN 47804 Phone: 812-242-3600 Fax: 812-232-0930 | |
Melissa R Hunt, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 N 7th St, Terre Haute, IN 47807 Phone: 812-238-7878 |