| Park View Psychiatric Services, Psc | |
|
510 Spring St Jeffersonville IN 47130-3554 | |
| (812) 282-1888 | |
| (812) 218-9318 |
| Full Name | Park View Psychiatric Services, Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 510 Spring St, Jeffersonville, Indiana |
| Authorized Official Name and Position | Steven R. Shelton (PRESIDENT) |
| Authorized Official Contact | 8122821888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park View Psychiatric Services, Psc 510 Spring St Jeffersonville IN 47130-3554 Ph: (812) 282-1888 | Park View Psychiatric Services, Psc 510 Spring St Jeffersonville IN 47130-3554 Ph: (812) 282-1888 |
| NPI Number | 1063415297 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 5698673101 |
|---|---|
| Medicare Enrollment ID | O20111214000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063415297 | NPI | - | NPPES |
| 0676466 | Other | KY | ELLEN KNOX'S KY MEDICARE # |
| 160780J | Other | IN | KELLY BUTLER'S IN MEDICARE # |
| 160780W | Other | IN | ELLEN KNOX'S IN MEDICARE # |
| CG3623 | Other | IN | MEDICARE RAILROAD |
| CK2274 | Other | KY | MEDICARE RAILROAD |
| 160780Q | Other | IN | ASAD ISMAIL'S IN MEDICARE # |
| 160780I | Other | IN | STEVE SHELTON'S IN MEDICARE # |
| 160860 | Other | IN | MEDICARE |
| 2444451000 | Other | KY | PASSPORT ADVANTAGE |
| 0676401 | Other | KY | STEVE SHELTON'S KY MEDICARE # |
| 0676429 | Other | KY | ASAD ISMAIL'S KY MEDICARE # |
| 64100142 | Medicaid | KY | |
| 0676412 | Other | KY | KELLY BUTLER'S KY MEDICARE # |
| 50002992 | Other | PASSPORT HEALTH PLAN GROUP # | |
| 65927857 | Medicaid | KY | |
| 50010129 | Other | PASSPORT HEALTH PLAN # FOR ISMAIL | |
| 50010173 | Other | PASSPORT HEALTH PLAN # FOR KNOX | |
| 50010499 | Other | PASSPORT HEALTH PLAN # FOR BUTLER | |
| 5002993 | Other | PASSPORT HEALTH PLAN # FOR SHELTON | |
| 100386460 | Medicaid | IN |
| Provider Name | Janice L. Brashear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952304040 PECOS PAC ID: 3779770284 Enrollment ID: I20101209001018 |
| Provider Name | Steven Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215934310 PECOS PAC ID: 6406754910 Enrollment ID: I20110930000216 |
| Provider Name | William T Lavely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871927822 PECOS PAC ID: 2860627635 Enrollment ID: I20140113000539 |
| Provider Name | Mary C Mcandrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033440029 PECOS PAC ID: 1951615996 Enrollment ID: I20150804004413 |
| Provider Name | Elizabeth A Smoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144775826 PECOS PAC ID: 8426330580 Enrollment ID: I20170125000723 |
| Provider Name | Anna Reyes-crawhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154978732 PECOS PAC ID: 5092043067 Enrollment ID: I20190829000408 |
| Provider Name | Jennifer Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710361530 PECOS PAC ID: 0446552038 Enrollment ID: I20201130002748 |
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