| Hancock Physician Network, Llc | |
|
156 W Muskegon Dr Greenfield IN 46140-3069 | |
| (317) 468-6260 | |
| (317) 468-6267 |
| Full Name | Hancock Physician Network, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 156 W Muskegon Dr, Greenfield, Indiana |
| Authorized Official Name and Position | Brian Muckerheide (CONTROLLER) |
| Authorized Official Contact | 3174686236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hancock Physician Network, Llc Po Box 129 Greenfield IN 46140-0129 Ph: (317) 468-6270 | Hancock Physician Network, Llc 156 W Muskegon Dr Greenfield IN 46140-3069 Ph: (317) 468-6260 |
| NPI Number | 1609806470 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 8325952633 |
|---|---|
| Medicare Enrollment ID | O20040130000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609806470 | NPI | - | NPPES |
| 200311740D | Medicaid | IN | |
| 200841490 | Medicaid | IN | |
| 200853260 | Medicaid | IN | |
| 01061823A | Other | IN | LICENSE NUMBER |
| 01061823B | Other | IN | CSR NUMBER |
| 1982757373 | Other | IN | NPI NUMBER |
| 200311740 | Medicaid | IN | |
| 111401698 | Other | IN | NPI NUMBER |
| 1467485003 | Other | IN | NPI NUMBER |
| 1548272289 | Other | IN | NPI NIMBER |
| 000000493483 | Other | IN | ANTHEM PIN NUMBER |
| 01062448A | Other | IN | LICENSE NUMBER |
| 208M00000X | Other | IN | HOSPITALIST |
| Provider Name | Roberta Frances Woeste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023115375 PECOS PAC ID: 6305838194 Enrollment ID: I20040405001258 |
| Provider Name | Syed Rashid Mumtaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396718573 PECOS PAC ID: 6709866445 Enrollment ID: I20040726000052 |
| Provider Name | James J Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497846828 PECOS PAC ID: 6608847967 Enrollment ID: I20040802001236 |
| Provider Name | Curtis Bow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093738429 PECOS PAC ID: 6507839693 Enrollment ID: I20040817000693 |
| Provider Name | Lori A Deemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770585317 PECOS PAC ID: 5294709523 Enrollment ID: I20040823001304 |
| Provider Name | Christopher D Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700889722 PECOS PAC ID: 4486628666 Enrollment ID: I20040824000097 |
| Provider Name | Kristin S Bagley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710971734 PECOS PAC ID: 6800862129 Enrollment ID: I20040908001100 |
| Provider Name | Amy R Wooldridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386624070 PECOS PAC ID: 8628046190 Enrollment ID: I20040922000564 |
| Provider Name | Gary C Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871586941 PECOS PAC ID: 3072572155 Enrollment ID: I20041005000617 |
| Provider Name | Saneera S Ilmudeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720060643 PECOS PAC ID: 8921068891 Enrollment ID: I20041014000817 |
| Provider Name | Paul J Halter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639161748 PECOS PAC ID: 2365404837 Enrollment ID: I20041028000249 |
| Provider Name | Karen S Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093982944 PECOS PAC ID: 5597729186 Enrollment ID: I20041113000242 |
| Provider Name | Stephen M Schultz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033188719 PECOS PAC ID: 9234189655 Enrollment ID: I20050124000958 |
| Provider Name | Jill A Stollmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154390128 PECOS PAC ID: 5395792931 Enrollment ID: I20050405001232 |
| Provider Name | V Chowdry Pinnamaneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043201700 PECOS PAC ID: 1951343797 Enrollment ID: I20050523000879 |
| Provider Name | Kevin Wayne Knott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174575948 PECOS PAC ID: 6204879083 Enrollment ID: I20050602000659 |
| Provider Name | Jennifer Luchtefeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033392253 PECOS PAC ID: 1850337767 Enrollment ID: I20050630000744 |
| Provider Name | Cheryl Lynn Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730172032 PECOS PAC ID: 3072541689 Enrollment ID: I20050803000573 |
| Provider Name | Maria Carmen Cudiamat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942283510 PECOS PAC ID: 0749202869 Enrollment ID: I20060103000562 |
| Provider Name | Madelaine M Sgroi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184835951 PECOS PAC ID: 5395754071 Enrollment ID: I20060406000696 |
| Provider Name | Cynthia S Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942284435 PECOS PAC ID: 6901815372 Enrollment ID: I20060412000408 |
| Provider Name | Beth A Turpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730128422 PECOS PAC ID: 5193722486 Enrollment ID: I20061030000312 |
| Provider Name | Delynn M Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619915576 PECOS PAC ID: 2264434786 Enrollment ID: I20070212000459 |
| Provider Name | Jeffrey A Heise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548272289 PECOS PAC ID: 2668574435 Enrollment ID: I20070226000173 |
| Provider Name | Carrie J Heuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457466757 PECOS PAC ID: 4981708963 Enrollment ID: I20070330000532 |
| Provider Name | Laura L Rife |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932214798 PECOS PAC ID: 9931204302 Enrollment ID: I20070412000476 |
| Provider Name | Blair T Stott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841407608 PECOS PAC ID: 8123128790 Enrollment ID: I20070711000713 |
| Provider Name | Monet D Bowling |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1144424458 PECOS PAC ID: 1850486606 Enrollment ID: I20071009000280 |
| Provider Name | Cindy R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669666855 PECOS PAC ID: 3678661352 Enrollment ID: I20071113000672 |
| Provider Name | Ronda A Brinley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013108216 PECOS PAC ID: 6103997325 Enrollment ID: I20080616000672 |
| Provider Name | Erin E Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073770772 PECOS PAC ID: 7810068061 Enrollment ID: I20080617000203 |
| Provider Name | Tracy L Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487612446 PECOS PAC ID: 3375604077 Enrollment ID: I20081212000128 |
| Provider Name | Andrew J Koon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457326639 PECOS PAC ID: 9436200482 Enrollment ID: I20090702000192 |
| Provider Name | Allison Jane Wiesman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710198957 PECOS PAC ID: 0345394029 Enrollment ID: I20090814000107 |
| Provider Name | Amanda M Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437329786 PECOS PAC ID: 6507910767 Enrollment ID: I20090821000649 |
| Provider Name | Manish N Chheda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043278039 PECOS PAC ID: 3870629454 Enrollment ID: I20100407000725 |
| Provider Name | Prem Kumar Konakondla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114186913 PECOS PAC ID: 1254462260 Enrollment ID: I20100707000528 |
| Provider Name | Margaret S Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689617672 PECOS PAC ID: 6709918097 Enrollment ID: I20100722000398 |
| Provider Name | Lawrence Jacob Lo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295739886 PECOS PAC ID: 2365538717 Enrollment ID: I20100802000290 |
| Provider Name | Michael Joseph Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841282001 PECOS PAC ID: 4284767575 Enrollment ID: I20100806000818 |
| Provider Name | Melinda A Cobb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639161896 PECOS PAC ID: 1557495736 Enrollment ID: I20100811000086 |
| Provider Name | Elizabeth A Blachly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740282201 PECOS PAC ID: 5496889578 Enrollment ID: I20100811000185 |
| Provider Name | Robert Mark Klinestiver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851383012 PECOS PAC ID: 6002940194 Enrollment ID: I20100811000386 |
| Provider Name | Roger D Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871595389 PECOS PAC ID: 2961536065 Enrollment ID: I20100811000453 |
| Provider Name | Scott R Capen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386646925 PECOS PAC ID: 4981738002 Enrollment ID: I20100811000678 |
| Provider Name | John B Hittle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821090275 PECOS PAC ID: 1850425984 Enrollment ID: I20100811000735 |
| Provider Name | Lorraine K Wean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407858079 PECOS PAC ID: 1658274196 Enrollment ID: I20100811000793 |
| Provider Name | Barbara J Pescitelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154398154 PECOS PAC ID: 4981738481 Enrollment ID: I20100819000746 |
| Provider Name | Elizabeth B Peyton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730160375 PECOS PAC ID: 0547266744 Enrollment ID: I20100820000325 |
| Provider Name | Sewit Amde |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558597807 PECOS PAC ID: 1759415029 Enrollment ID: I20100823000627 |
| Provider Name | Glen L Flaningham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740261288 PECOS PAC ID: 5294821641 Enrollment ID: I20100828000063 |
| Provider Name | Thomas Martin Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952305583 PECOS PAC ID: 6901992353 Enrollment ID: I20100830000001 |
| Provider Name | Syed W Moazzem |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972777415 PECOS PAC ID: 8820271521 Enrollment ID: I20110317000479 |
| Provider Name | Ashleigh B Guenin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568754000 PECOS PAC ID: 0547446833 Enrollment ID: I20110523000242 |
| Provider Name | Julia M Degler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295996346 PECOS PAC ID: 8022286210 Enrollment ID: I20110713000667 |
| Provider Name | Kimberly K Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114139425 PECOS PAC ID: 6305015504 Enrollment ID: I20110804000199 |
| Provider Name | Rona A Abu Manneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548432511 PECOS PAC ID: 4082884341 Enrollment ID: I20110825000019 |
| Provider Name | Danae L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629349998 PECOS PAC ID: 7315100427 Enrollment ID: I20120529000233 |
| Provider Name | Michele A Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649532326 PECOS PAC ID: 5991960445 Enrollment ID: I20120706000358 |
| Provider Name | Jolyn M Holliday Veza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871848770 PECOS PAC ID: 1355590829 Enrollment ID: I20120927000773 |
| Provider Name | Ashley K Sevenbergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518222553 PECOS PAC ID: 1850542853 Enrollment ID: I20121126000375 |
| Provider Name | Shane L Seabourn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154378727 PECOS PAC ID: 5991959447 Enrollment ID: I20130208000191 |
| Provider Name | Thomas E Meads |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356380331 PECOS PAC ID: 4789574286 Enrollment ID: I20130318000100 |
| Provider Name | Indrek Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235450354 PECOS PAC ID: 1355588237 Enrollment ID: I20130926000853 |
| Provider Name | Donna M Timblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831531797 PECOS PAC ID: 9739313305 Enrollment ID: I20131015000308 |
| Provider Name | Julia J Compton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942435797 PECOS PAC ID: 8820234800 Enrollment ID: I20131118000251 |
| Provider Name | Amber M Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659713378 PECOS PAC ID: 8426286881 Enrollment ID: I20140109000430 |
| Provider Name | Michael L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154393031 PECOS PAC ID: 0446482236 Enrollment ID: I20140409001596 |
| Provider Name | Amy S Diersing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316370638 PECOS PAC ID: 2466685185 Enrollment ID: I20140505001571 |
| Provider Name | Kristen L Irwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225340987 PECOS PAC ID: 5991938698 Enrollment ID: I20140715002139 |
| Provider Name | Kelle M Zeabart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902229222 PECOS PAC ID: 9931329455 Enrollment ID: I20141006001269 |
| Provider Name | Kristina L Place |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154722684 PECOS PAC ID: 3173744513 Enrollment ID: I20141028000966 |
| Provider Name | Nathan W Lingo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740423458 PECOS PAC ID: 1456671940 Enrollment ID: I20150526000070 |
| Provider Name | Brad M Hirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184986523 PECOS PAC ID: 8426203654 Enrollment ID: I20150601002059 |
| Provider Name | Manuel L Lozano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922031913 PECOS PAC ID: 3577560523 Enrollment ID: I20150728004083 |
| Provider Name | Suresh Seshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689937427 PECOS PAC ID: 7214168590 Enrollment ID: I20150731016662 |
| Provider Name | Molly C Strong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366760332 PECOS PAC ID: 9830317684 Enrollment ID: I20150910002263 |
| Provider Name | Jeffrey D Mossler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346582293 PECOS PAC ID: 8820221682 Enrollment ID: I20151028001442 |
| Provider Name | Nalini A Bangalore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669413043 PECOS PAC ID: 7113237785 Enrollment ID: I20151111000366 |
| Provider Name | Ana Michelle Kiely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932579778 PECOS PAC ID: 8022313436 Enrollment ID: I20160223001807 |
| Provider Name | Joseph T Varnau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972916997 PECOS PAC ID: 1557588894 Enrollment ID: I20160510002099 |
| Provider Name | Anne E Mattingly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174842595 PECOS PAC ID: 7416194626 Enrollment ID: I20160617001379 |
| Provider Name | Christopher M Dipiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285968149 PECOS PAC ID: 1355525296 Enrollment ID: I20160621000207 |
| Provider Name | Benjamin E Mcallister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356600118 PECOS PAC ID: 5294971958 Enrollment ID: I20160804000026 |
| Provider Name | Clayton Strong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013203843 PECOS PAC ID: 7315243094 Enrollment ID: I20160824002295 |
| Provider Name | Renee Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003273178 PECOS PAC ID: 9830486497 Enrollment ID: I20160926000470 |
| Provider Name | Megan L Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376901405 PECOS PAC ID: 2769779289 Enrollment ID: I20160928000305 |
| Provider Name | Christine E Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052108 PECOS PAC ID: 4587943980 Enrollment ID: I20161107002133 |
| Provider Name | Hongwei Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215340898 PECOS PAC ID: 3375768534 Enrollment ID: I20170327002638 |
| Provider Name | Kaitlyn D. Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265972699 PECOS PAC ID: 1557630605 Enrollment ID: I20170705000562 |
| Provider Name | William J.e. Adams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467872796 PECOS PAC ID: 5991092678 Enrollment ID: I20171115000139 |
| Provider Name | Rudo Mashindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447694468 PECOS PAC ID: 6002123312 Enrollment ID: I20180517002062 |
| Provider Name | Mirza M Baig |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134371487 PECOS PAC ID: 2567651938 Enrollment ID: I20180607000736 |
| Provider Name | Senaka Yoshio Ratnayake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194108670 PECOS PAC ID: 9335452556 Enrollment ID: I20180711002263 |
| Provider Name | Caroline Wambui Eringo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487090460 PECOS PAC ID: 4688970270 Enrollment ID: I20180813002401 |
| Provider Name | Jesseca Wardwell Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043790090 PECOS PAC ID: 8426309196 Enrollment ID: I20180919000429 |
| Provider Name | Kelly S Peasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972084267 PECOS PAC ID: 6406107986 Enrollment ID: I20180921002207 |
| Provider Name | Mindy Closser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366920266 PECOS PAC ID: 0749532430 Enrollment ID: I20181008001716 |
| Provider Name | Samantha Lewis Rausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649755539 PECOS PAC ID: 1557614575 Enrollment ID: I20181022000966 |
| Provider Name | Uzochukwu Amadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689961088 PECOS PAC ID: 7012226855 Enrollment ID: I20181026000399 |
| Provider Name | Tracie Corn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437625597 PECOS PAC ID: 1052664497 Enrollment ID: I20181031003018 |
| Provider Name | Kara Jean Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902384274 PECOS PAC ID: 9739433707 Enrollment ID: I20181109000628 |
| Provider Name | Namrata M Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023252665 PECOS PAC ID: 4385951904 Enrollment ID: I20190524002100 |
| Provider Name | Bryce A Mohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437536869 PECOS PAC ID: 7810201878 Enrollment ID: I20190624002815 |
| Provider Name | Vanessa D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717295 PECOS PAC ID: 3476887183 Enrollment ID: I20190701001200 |
| Provider Name | Ismail Qattash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538329982 PECOS PAC ID: 2062579121 Enrollment ID: I20190718003660 |
| Provider Name | James Alan Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477916864 PECOS PAC ID: 5698052470 Enrollment ID: I20190730000795 |
| Provider Name | Kara Huff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780001925 PECOS PAC ID: 1557583200 Enrollment ID: I20190809001820 |
| Provider Name | Raquel P Ton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134514326 PECOS PAC ID: 3173822475 Enrollment ID: I20190827004131 |
| Provider Name | Neal I Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801258561 PECOS PAC ID: 8224321336 Enrollment ID: I20190904001107 |
| Provider Name | Ahmad Al-najjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912214818 PECOS PAC ID: 9830323641 Enrollment ID: I20190906002487 |
| Provider Name | Kerri A Kissell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043354483 PECOS PAC ID: 8426149972 Enrollment ID: I20191203001919 |
| Provider Name | Shawnta Crayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023651072 PECOS PAC ID: 8527494707 Enrollment ID: I20200206001698 |
| Provider Name | Angela Nicole Trackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558992156 PECOS PAC ID: 3779911318 Enrollment ID: I20200315000022 |
| Provider Name | Shawn Thomas Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861920977 PECOS PAC ID: 8123396215 Enrollment ID: I20200623003065 |
| Provider Name | Chiemela Ubagharaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013435221 PECOS PAC ID: 7113291386 Enrollment ID: I20200805001682 |
| Provider Name | Michael S Farthing |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235588146 PECOS PAC ID: 4284925199 Enrollment ID: I20200818000646 |
| Provider Name | Drew W Dust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427402510 PECOS PAC ID: 1456646348 Enrollment ID: I20200825000234 |
| Provider Name | Claudia I Brinkruff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497372031 PECOS PAC ID: 9436578671 Enrollment ID: I20201007002105 |
| Provider Name | Hayley Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003437278 PECOS PAC ID: 9133530686 Enrollment ID: I20201204001628 |
| Provider Name | Priscilla K Stumpf |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013350578 PECOS PAC ID: 3577704113 Enrollment ID: I20210623002462 |
| Provider Name | Andrew P Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740710482 PECOS PAC ID: 6901148998 Enrollment ID: I20210830000819 |
| Provider Name | Heather D Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568134971 PECOS PAC ID: 1557750395 Enrollment ID: I20211116002107 |
| Provider Name | Cara N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184389348 PECOS PAC ID: 1052703147 Enrollment ID: I20220124000534 |
| Provider Name | Calee R Hochstedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619620812 PECOS PAC ID: 3779977020 Enrollment ID: I20220302001114 |
| Provider Name | Chelsea R Hohenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497416663 PECOS PAC ID: 2567856818 Enrollment ID: I20220302001238 |
| Provider Name | Esther Bah Zoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801552005 PECOS PAC ID: 1052706777 Enrollment ID: I20220316001690 |
| Provider Name | Ariah Vandivier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144787128 PECOS PAC ID: 4688061344 Enrollment ID: I20220427001320 |
| Provider Name | Laura Dearmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982195095 PECOS PAC ID: 8123405362 Enrollment ID: I20220510000490 |
| Provider Name | Joshua Thomas East |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609368430 PECOS PAC ID: 8628323334 Enrollment ID: I20220603000595 |
| Provider Name | Kristen J Steiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194287409 PECOS PAC ID: 0345622981 Enrollment ID: I20220729000996 |
| Provider Name | Latosha Forshey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487384509 PECOS PAC ID: 4688042138 Enrollment ID: I20221115001177 |
| Provider Name | Lauren Amanda Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013599869 PECOS PAC ID: 8426429945 Enrollment ID: I20230120000836 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548376312 PECOS PAC ID: 4486687266 Enrollment ID: I20230201000955 |
| Provider Name | Margaret R Andonian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679296859 PECOS PAC ID: 2466823331 Enrollment ID: I20230201001305 |
| Provider Name | Emily Stoffel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073278842 PECOS PAC ID: 1557733169 Enrollment ID: I20230208001130 |
| Provider Name | Alexander Woodford Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427637289 PECOS PAC ID: 0749680932 Enrollment ID: I20230224000525 |
| Provider Name | Stephen R Shively |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417497819 PECOS PAC ID: 1153688767 Enrollment ID: I20230615001095 |
| Provider Name | Bilal Gondal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962799098 PECOS PAC ID: 0648402628 Enrollment ID: I20230622002399 |
| Provider Name | Austin T Moster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720616709 PECOS PAC ID: 3678997186 Enrollment ID: I20230712003631 |
| Provider Name | Danielle M Moster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699391458 PECOS PAC ID: 8820411986 Enrollment ID: I20230724000988 |
| Provider Name | Stephen A Coulson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841292778 PECOS PAC ID: 9032111505 Enrollment ID: I20230913002894 |
| Provider Name | Laura Kay Randolph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558666362 PECOS PAC ID: 2769791631 Enrollment ID: I20230919002478 |
| Provider Name | Jesse W Miser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255997177 PECOS PAC ID: 0143556936 Enrollment ID: I20240105000381 |
| Provider Name | Amanda Rininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902588932 PECOS PAC ID: 3971946682 Enrollment ID: I20240209001963 |
Greenfield Neurology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E Boyd Ave, Suite #230, Greenfield, IN 46140 Phone: 317-462-6066 | |
Phoenix Associates Of Hancock County, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Main St, Greenfield, IN 46140 Phone: 317-462-8281 Fax: 317-462-8289 | |
Mh Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Lullaby Blvd, Greenfield, IN 46140 Phone: 317-385-5350 | |
Hancock Regional Hospital Psy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N State St, Greenfield, IN 46140 Phone: 317-462-5544 Fax: 317-468-4173 | |
Malta Consulting And Facilitation Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 592 S Park Dr, Greenfield, IN 46140 Phone: 317-833-6563 | |
Origins Family Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 18 E Main St Ste 216, Greenfield, IN 46140 Phone: 176-493-4311 Fax: 317-649-4375 | |
Bvc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 N Concord Ct, Greenfield, IN 46140 Phone: 317-894-0818 Fax: 317-891-8984 |