| Elisabeth Ann Throop, FNP-C | |
|
5604 E White Oak Ln, Marengo, IN 47140-8413 | |
| (812) 365-3221 | |
| (812) 365-9502 |
| Full Name | Elisabeth Ann Throop |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5604 E White Oak Ln, Marengo, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770219461 | NPI | - | NPPES |
| 300074848 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71012800A (Indiana) | Primary |
| Entity Name | Southern Indiana Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Ann Throop, FNP-C 23796 Odell Rd, Saint Croix, IN 47576-9036 Ph: (812) 843-3458 | Elisabeth Ann Throop, FNP-C 5604 E White Oak Ln, Marengo, IN 47140-8413 Ph: (812) 365-3221 |
Howard D Detweiler, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5604 E White Oak Ln, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 | |
Susan Stein, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 South Second Street, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 |