| Indiana University Health Bloomington Inc | |
|
2651 E Discovery Pkwy Bloomington IN 47408-9059 | |
| (812) 353-5252 | |
| (812) 353-5228 |
| Full Name | Indiana University Health Bloomington Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
| Authorized Official Name and Position | Michael L Craig (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8123539171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Health Bloomington Inc 601 W 2nd St Bloomington IN 47403-2317 Ph: (812) 353-9557 | Indiana University Health Bloomington Inc 2651 E Discovery Pkwy Bloomington IN 47408-9059 Ph: (812) 353-5252 |
| NPI Number | 1871519074 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 6709799851 |
|---|---|
| Medicare Enrollment ID | O20040305000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871519074 | NPI | - | NPPES |
| 100268090 | Medicaid | IN |
| Provider Name | Michael W Kane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497891840 PECOS PAC ID: 1557259256 Enrollment ID: I20040305000069 |
| Provider Name | Chad William Schultheis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295708022 PECOS PAC ID: 5496725954 Enrollment ID: I20040730000561 |
| Provider Name | Anita Pairitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851376230 PECOS PAC ID: 8325092703 Enrollment ID: I20050309000130 |
| Provider Name | Danette A Baird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700838919 PECOS PAC ID: 7911949177 Enrollment ID: I20050526001036 |
| Provider Name | Lilian Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932265212 PECOS PAC ID: 7810915014 Enrollment ID: I20051107000251 |
| Provider Name | Oleh Dzera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255348371 PECOS PAC ID: 5991726044 Enrollment ID: I20051216000115 |
| Provider Name | Deborah L Acito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811973381 PECOS PAC ID: 0446266175 Enrollment ID: I20060303000456 |
| Provider Name | Gregory S Sidell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780603530 PECOS PAC ID: 5395754469 Enrollment ID: I20060418000472 |
| Provider Name | Miroslawa Berkvam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710950761 PECOS PAC ID: 3870597388 Enrollment ID: I20060913000634 |
| Provider Name | Gaston Da Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902011158 PECOS PAC ID: 5193825073 Enrollment ID: I20070706000167 |
| Provider Name | Michael S Metrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922189836 PECOS PAC ID: 8628165537 Enrollment ID: I20071024000419 |
| Provider Name | Dana J Mcgaffee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770631145 PECOS PAC ID: 6901995786 Enrollment ID: I20071130000535 |
| Provider Name | Camila L Arnaudo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770669137 PECOS PAC ID: 5698821999 Enrollment ID: I20090928000362 |
| Provider Name | Tom F Hrisomalos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801892211 PECOS PAC ID: 4486608791 Enrollment ID: I20100416000335 |
| Provider Name | Nicole Swann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346441623 PECOS PAC ID: 4082741772 Enrollment ID: I20100429000497 |
| Provider Name | Stephena M Sheets |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497797187 PECOS PAC ID: 7416087960 Enrollment ID: I20100610000512 |
| Provider Name | Anne H Gilbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053356022 PECOS PAC ID: 7214067636 Enrollment ID: I20100611000175 |
| Provider Name | David Carrico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891779989 PECOS PAC ID: 7214122076 Enrollment ID: I20101108000112 |
| Provider Name | Sherri Mathies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497060644 PECOS PAC ID: 1355538067 Enrollment ID: I20101207001086 |
| Provider Name | Carey C Mayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457373987 PECOS PAC ID: 2961683289 Enrollment ID: I20110221000213 |
| Provider Name | Sherry L Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699797159 PECOS PAC ID: 5698956951 Enrollment ID: I20110221000601 |
| Provider Name | Jennifer A Sayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972807451 PECOS PAC ID: 4082892567 Enrollment ID: I20110705000343 |
| Provider Name | Teresa R Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306113642 PECOS PAC ID: 7012184781 Enrollment ID: I20120120000139 |
| Provider Name | Elizabeth A Sarchet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740466077 PECOS PAC ID: 5294997029 Enrollment ID: I20120424000357 |
| Provider Name | Mark E Fons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699863647 PECOS PAC ID: 3274798384 Enrollment ID: I20120622000116 |
| Provider Name | Albert G Singh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679724058 PECOS PAC ID: 7810145042 Enrollment ID: I20120913000388 |
| Provider Name | Rebekah Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144576232 PECOS PAC ID: 0840440772 Enrollment ID: I20121030000301 |
| Provider Name | Sonya K Ruedlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245586718 PECOS PAC ID: 1456503887 Enrollment ID: I20121212000230 |
| Provider Name | Steven Goad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477641421 PECOS PAC ID: 5698724037 Enrollment ID: I20130503000574 |
| Provider Name | Ross Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871835769 PECOS PAC ID: 6608010020 Enrollment ID: I20130924000800 |
| Provider Name | Richard Lamar Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336410703 PECOS PAC ID: 7618102310 Enrollment ID: I20131106000267 |
| Provider Name | Katie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467647628 PECOS PAC ID: 4082844410 Enrollment ID: I20140305001113 |
| Provider Name | Brittany D Mcnew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750714366 PECOS PAC ID: 9335379437 Enrollment ID: I20140312000801 |
| Provider Name | Brandee Marksberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578942348 PECOS PAC ID: 3173830528 Enrollment ID: I20150916003024 |
| Provider Name | Amber Owings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205215167 PECOS PAC ID: 1658688080 Enrollment ID: I20150917002315 |
| Provider Name | Gena Carney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588106389 PECOS PAC ID: 8123307063 Enrollment ID: I20161116001213 |
| Provider Name | Stephanie B Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205287513 PECOS PAC ID: 5092094771 Enrollment ID: I20161121001707 |
| Provider Name | Elizabeth Mullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186831 PECOS PAC ID: 1153601372 Enrollment ID: I20161206000461 |
| Provider Name | Lindsay M Potts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326584772 PECOS PAC ID: 4688956402 Enrollment ID: I20170131000494 |
| Provider Name | Linda L Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306914346 PECOS PAC ID: 9638113905 Enrollment ID: I20170404001350 |
| Provider Name | Andrea Cheek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154776680 PECOS PAC ID: 6406124049 Enrollment ID: I20170622001733 |
| Provider Name | Hiedi Kathleen Linder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801322557 PECOS PAC ID: 7911271283 Enrollment ID: I20170926000473 |
| Provider Name | Nicole C Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063807121 PECOS PAC ID: 7618298845 Enrollment ID: I20171108002230 |
| Provider Name | Nida Javed Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457790602 PECOS PAC ID: 1456618545 Enrollment ID: I20171128000774 |
| Provider Name | Hingwan Yu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861790487 PECOS PAC ID: 3072800366 Enrollment ID: I20171206002317 |
| Provider Name | Danielle Victoria Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738263 PECOS PAC ID: 7719245752 Enrollment ID: I20171220000394 |
| Provider Name | Christopher Michael Carter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639378250 PECOS PAC ID: 3971769225 Enrollment ID: I20180525001623 |
| Provider Name | Stacia O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801249297 PECOS PAC ID: 6800148891 Enrollment ID: I20181002001600 |
| Provider Name | Dawn Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467936070 PECOS PAC ID: 2163767344 Enrollment ID: I20181215000606 |
| Provider Name | Amanda Wallace |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174750707 PECOS PAC ID: 0446487136 Enrollment ID: I20190125000077 |
| Provider Name | Carter L Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861975682 PECOS PAC ID: 6406198407 Enrollment ID: I20190423001060 |
| Provider Name | Assad Mukhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609259001 PECOS PAC ID: 7315240876 Enrollment ID: I20190614000437 |
| Provider Name | Tonya M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994123 PECOS PAC ID: 1951638832 Enrollment ID: I20190815000862 |
| Provider Name | Amanda Lavender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033768569 PECOS PAC ID: 8729410444 Enrollment ID: I20191119002032 |
| Provider Name | James J Meeks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740608983 PECOS PAC ID: 5496064594 Enrollment ID: I20200728002422 |
| Provider Name | Cheryl Kristine Groth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609408004 PECOS PAC ID: 6507280286 Enrollment ID: I20200728002501 |
| Provider Name | Mindy L Metzcar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649882812 PECOS PAC ID: 5092132522 Enrollment ID: I20200831000093 |
| Provider Name | Regina Ohaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235703547 PECOS PAC ID: 5597165498 Enrollment ID: I20210615001235 |
| Provider Name | Kristen J Bunch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164610564 PECOS PAC ID: 4082905534 Enrollment ID: I20211119001127 |
| Provider Name | Kayla A Devito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124503289 PECOS PAC ID: 4880073311 Enrollment ID: I20220614000803 |
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