| Bradley Stephens, | |
|
301 Henry St, Building B, North Vernon, IN 47265-1030 | |
| (812) 352-4463 | |
| (812) 352-4203 |
| Full Name | Bradley Stephens |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 301 Henry St, North Vernon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821493347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71005248A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 3008867 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Stephens, 10330 N Meridian St, Suite 201, Indianapolis, IN 46290-1024 Ph: () - | Bradley Stephens, 301 Henry St, Building B, North Vernon, IN 47265-1030 Ph: (812) 352-4463 |
Rhomonda Scifres, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2070 N Hwy 3, North Vernon, IN 47265 Phone: 812-979-2136 | |
Margaret G Parker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
Katherine Conover, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
Patricia Ann Fields, PMHNP APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-883-6779 Fax: 812-352-2420 | |
Dona Jean Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
Mr. Greg Andrew Fillenwarth, FNP,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Commercial Dr, North Vernon, IN 47265 Phone: 812-953-1348 Fax: 812-953-1356 | |
Heidi Smith, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 |