| Gabriel Adam Borisuk, APRN | |
|
445 Clifty Dr, Madison, IN 47250-1607 | |
| (812) 273-5372 | |
| (812) 273-5741 |
| Full Name | Gabriel Adam Borisuk |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 445 Clifty Dr, Madison, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598320590 | NPI | - | NPPES |
| 300029680 | Medicaid | IN | |
| 7100607100 | Medicaid | KY | |
| 28208891A | Other | IN | INDIANA STATE BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 71009118A (Indiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 71009118A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Health | Madison, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Associates Inc | 7012811284 | 1310 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Entity Name | Norton - Kings Daughters Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Adam Borisuk, APRN 3245 N Sr 7, Madison, IN 47250-7958 Ph: () - | Gabriel Adam Borisuk, APRN 445 Clifty Dr, Madison, IN 47250-1607 Ph: (812) 273-5372 |
Sara Nicole Thorpe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0152 Fax: 812-801-0150 | |
Sandra Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Clifty Dr Ste J, Madison, IN 47250 Phone: 812-274-0713 | |
Mary Victoria Conners, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Broadway St, Madison, IN 47250 Phone: 812-801-0338 Fax: 812-801-0777 | |
Mandy Corinne Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62 Ste 2c, Madison, IN 47250 Phone: 812-801-0840 Fax: 812-801-0024 | |
Jamie Leigh Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0229 Fax: 812-801-8705 | |
Alicia D Mincher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0152 Fax: 812-801-0150 | |
Branden A Bledsoe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 E Clifty Dr, Madison, IN 47250 Phone: 502-895-7761 |