Cassandra L Kellams, | |
10782 W Old Vincennes Rd, West Baden Springs, IN 47469-9669 | |
(812) 508-1143 | |
Not Available |
Full Name | Cassandra L Kellams |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10782 W Old Vincennes Rd, West Baden Springs, 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 | 28197391A (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, 10782 W Old Vincennes Rd, West Baden Springs, IN 47469-9669 Ph: (812) 508-1143 |
Brenda Kay Painter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8163 W State Road 56 Ste A, West Baden Springs, IN 47469 Phone: 812-723-7125 Fax: 812-936-2599 | |
Heather Kearby, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8163 W State Road 56, West Baden Springs, IN 47469 Phone: 812-723-7125 | |
Rebekah Kaylene Beaty, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8163 W State Road 56 Ste A, West Baden Springs, IN 47469 Phone: 812-936-2425 Fax: 812-936-2599 |