| 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 |