| Cassandra L Kellams, | |
|
203 W 1st St, Bloomington, IN 47403-2504 | |
| (812) 668-1946 | |
| (812) 287-8438 |
| Full Name | Cassandra L Kellams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 203 W 1st St, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972334282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71016302A (Indiana) | Primary |
| Entity Name | Provider Partners Care Management Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20240405001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra L Kellams, 10782 W Old Vincennes Rd, West Baden Springs, IN 47469-9669 Ph: (812) 508-1143 | Cassandra L Kellams, 203 W 1st St, Bloomington, IN 47403-2504 Ph: (812) 668-1946 |
Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290 | |
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500 | |
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700 | |
Nichole Hickman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 | |
Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515 | |
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270 | |
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 |