| Tulip Tree Health Services Of Gibson County, Inc. | |
| 
					123 N Mccreary St Fort Branch IN 47648  | |
| (812) 753-1039 | |
| (812) 753-1122 | 
| Full Name | Tulip Tree Health Services Of Gibson County, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 123 N Mccreary St, Fort Branch, Indiana | 
| Authorized Official Name and Position | Kristine M Georges (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 8127531039 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tulip Tree Health Services Of Gibson County, Inc. 108 N Main St Princeton IN 47670-1540 Ph: (812) 753-1039  | Tulip Tree Health Services Of Gibson County, Inc. 123 N Mccreary St Fort Branch IN 47648 Ph: (812) 753-1039  | 
| NPI Number | 1932225372 | 
|---|---|
| Provider Enumeration Date | 03/21/2007 | 
| Last Update Date | 09/04/2024 | 
| Certification Date | 09/04/2024 | 
| Medicare PECOS PAC ID | 7416859376 | 
|---|---|
| Medicare Enrollment ID | O20040122000478 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932225372 | NPI | - | NPPES | 
| 200248220A | Medicaid | IN | |
| 300039487A | Medicaid | IN | 
| Provider Name | Ethel A Elkins | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1013951052 PECOS PAC ID: 4688656978 Enrollment ID: I20040601001542  | 
| Provider Name | J Christopher Sartore | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1356419840 PECOS PAC ID: 5395812887 Enrollment ID: I20080925000219  | 
| Provider Name | Terry C Gehlhausen | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1861479743 PECOS PAC ID: 1052325784 Enrollment ID: I20100608000592  | 
| Provider Name | Megan E Mayes | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003311309 PECOS PAC ID: 3971859141 Enrollment ID: I20180629001405  | 
| Provider Name | Erin E Nester | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235606641 PECOS PAC ID: 2163766379 Enrollment ID: I20181128003344  | 
| Provider Name | Heath Christian Kohlmeier | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1619431566 PECOS PAC ID: 9335487842 Enrollment ID: I20190207002419  | 
| Provider Name | Martha Amanda Newcomb | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1194331371 PECOS PAC ID: 9234559147 Enrollment ID: I20201014003785  | 
| Provider Name | Matthew R Attebury | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1811647464 PECOS PAC ID: 1254728322 Enrollment ID: I20220420002392  |