| Pain Management Centers Of America, Psc | |
|
1101 Professional Blvd Evansville IN 47714-8016 | |
| (812) 477-7246 | |
| (812) 477-7246 |
| Full Name | Pain Management Centers Of America, Psc |
|---|---|
| Speciality | Pain Medicine |
| Location | 1101 Professional Blvd, Evansville, Indiana |
| Authorized Official Name and Position | Mahendra Rama Sanapati (PRESIDENTR) |
| Authorized Official Contact | 8125731207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Management Centers Of America, Psc 1101 Professional Blvd Ste 100 Evansville IN 47714-8018 Ph: (812) 477-7246 | Pain Management Centers Of America, Psc 1101 Professional Blvd Evansville IN 47714-8016 Ph: (812) 477-7246 |
| NPI Number | 1992271811 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 04/30/2022 |
| Certification Date | 04/30/2022 |
| Medicare PECOS PAC ID | 2769727114 |
|---|---|
| Medicare Enrollment ID | O20181213000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992271811 | NPI | - | NPPES |
| Provider Name | Mahendra R Sanapati |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1154325959 PECOS PAC ID: 3779487491 Enrollment ID: I20031124000773 |
| Provider Name | Gavin Douglas Chartier |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1982679494 PECOS PAC ID: 0042124588 Enrollment ID: I20031201000748 |
| Provider Name | Kevin L Hardesty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891762233 PECOS PAC ID: 0042299729 Enrollment ID: I20040727001578 |
| Provider Name | Misty D Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770565160 PECOS PAC ID: 3971595760 Enrollment ID: I20040927000039 |
| Provider Name | Sharon M Hubbard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053308106 PECOS PAC ID: 6507834090 Enrollment ID: I20050705000257 |
| Provider Name | Melissa C Fuquay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952385791 PECOS PAC ID: 9537188149 Enrollment ID: I20051114000252 |
| Provider Name | Francis J Mcdonnell |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760411052 PECOS PAC ID: 6103831102 Enrollment ID: I20060213000419 |
| Provider Name | Patricia A Borst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497803308 PECOS PAC ID: 1052417854 Enrollment ID: I20070510000179 |
| Provider Name | James P Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417909912 PECOS PAC ID: 7416054929 Enrollment ID: I20070517000551 |
| Provider Name | Jana F Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518042522 PECOS PAC ID: 3375443575 Enrollment ID: I20170216000515 |
| Provider Name | Xiaoli Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346684222 PECOS PAC ID: 5597021899 Enrollment ID: I20180424000529 |
| Provider Name | Erica R Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619454188 PECOS PAC ID: 1658622402 Enrollment ID: I20180918003716 |
| Provider Name | Samuel S Murala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205210150 PECOS PAC ID: 3274868856 Enrollment ID: I20190718002802 |
| Provider Name | Radomir Kosanovic |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184055303 PECOS PAC ID: 9133495229 Enrollment ID: I20200102001615 |
| Provider Name | Bill Walker Haney |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265525653 PECOS PAC ID: 1052388733 Enrollment ID: I20200106001884 |
| Provider Name | Srinivasa Sarvabhouma Thota |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1881838639 PECOS PAC ID: 3971750753 Enrollment ID: I20200720003447 |
| Provider Name | Amber Nicole Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457964751 PECOS PAC ID: 3678990066 Enrollment ID: I20200831002191 |
| Provider Name | Samantha Elaine Shoultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225400070 PECOS PAC ID: 9830509785 Enrollment ID: I20201103002978 |
| Provider Name | Robert L Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275018459 PECOS PAC ID: 4082657796 Enrollment ID: I20201202001980 |
| Provider Name | Kayla D Southard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407458920 PECOS PAC ID: 3173924057 Enrollment ID: I20210629003301 |
| Provider Name | Jessica Lynn Anglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104438902 PECOS PAC ID: 0042623597 Enrollment ID: I20211018001747 |
| Provider Name | Jessica Ann Blandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760135669 PECOS PAC ID: 9739574435 Enrollment ID: I20220316000596 |
| Provider Name | Robert Liu |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1346771276 PECOS PAC ID: 9133515208 Enrollment ID: I20220503001319 |
| Provider Name | Carla Marie Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336768993 PECOS PAC ID: 2961826755 Enrollment ID: I20220614001810 |
| Provider Name | Kendyl Sumner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073275335 PECOS PAC ID: 8325438468 Enrollment ID: I20220706000221 |
| Provider Name | Jaya Subha Sanapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780248740 PECOS PAC ID: 5294110292 Enrollment ID: I20220912001944 |
| Provider Name | Deirdre Catherina Mcdonnell |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1902434830 PECOS PAC ID: 6507282746 Enrollment ID: I20230818000945 |
Evansville Lutheran Family Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 E Virginia St, Evansville, IN 47711 Phone: 812-424-5620 Fax: 812-424-5624 | |
Deaconess Pain Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 W Lloyd Expy, Evansville, IN 47712 Phone: 812-450-7246 Fax: 812-450-4855 | |
Empowerment Behavioral Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 John St, Evansville, IN 47713 Phone: 812-454-8829 | |
Paul Mefford Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Powell Ave, Evansville, IN 47713 Phone: 812-306-3053 | |
Southwestern Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 415 Mulberry St, Evansville, IN 47713 Phone: 812-423-7791 Fax: 812-422-7558 | |
Brighter Side Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4972 Lincoln Ave Ste 204, Evansville, IN 47715 Phone: 812-962-9020 Fax: 812-962-8020 | |
Deaconess Hospital, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9779 Fax: 812-450-0007 |