| Miranda E Blevins, MD | |
|
4015 Gateway Blvd, Newburgh, IN 47630-8925 | |
| (812) 858-9400 | |
| (812) 858-9571 |
| Full Name | Miranda E Blevins |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 4015 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 |
|---|---|---|---|
| 1962630574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01072349A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01072349A (Indiana) | Primary |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda E Blevins, MD Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 450-6815 | Miranda E Blevins, MD 4015 Gateway Blvd, Newburgh, IN 47630-8925 Ph: (812) 858-9400 |
Dr. Jeannie Sitzes Haseman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8788 Ruffian Ln, Newburgh, IN 47630 Phone: 812-858-9800 | |
Lloyd Long, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10444 Sr 66, Newburgh, IN 47630 Phone: 812-853-9651 | |
Dr. Timothy Labelle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1094 Jefferson Ct, Newburgh, IN 47630 Phone: 812-962-8881 | |
Blake Edward Titzer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 St Marys Epworth Xing # B100, Newburgh, IN 47630 Phone: 812-469-8300 |