| Dustin Mikesell, | |
|
1000 E Main St Ste 104, Danville, IN 46122-1948 | |
| (317) 838-9355 | |
| Not Available |
| Full Name | Dustin Mikesell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1000 E Main St Ste 104, Danville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124626585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71010478A (Indiana) | Primary |
| Entity Name | Riverview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
| Entity Name | Fc Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Mikesell, 1000 E Main St Ste 104, Danville, IN 46122-1948 Ph: (317) 838-9355 | Dustin Mikesell, 1000 E Main St Ste 104, Danville, IN 46122-1948 Ph: (317) 838-9355 |
Luke Simpson, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Hospital Ln Ste 100, Danville, IN 46122 Phone: 173-745-3816 | |
Danielle Marie Lantrip, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E Main St, Danville, IN 46122 Phone: 317-745-4451 | |
Jeanette Marie Hay, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Meadow Dr, Danville, IN 46122 Phone: 317-718-0044 Fax: 317-745-5219 | |
Gina R Kirk, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 E Main St, Danville, IN 46122 Phone: 317-718-4740 Fax: 317-718-6740 | |
Susan Disser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Hospital Ln, Ste 110, Danville, IN 46122 Phone: 765-762-4170 | |
Mrs. Amy Elizabeth Wilson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Hospital Ln Ste 302, Danville, IN 46122 Phone: 317-272-7510 Fax: 317-272-7514 |