| Geneva Dillon, NP-C | |
|
1350 Chester Blvd Ste D, Richmond, IN 47374-1960 | |
| (765) 935-8860 | |
| (765) 935-8859 |
| Full Name | Geneva Dillon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1350 Chester Blvd Ste D, Richmond, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497158109 | NPI | - | NPPES |
| 201261180 | Medicaid | IN | |
| 000000902809 | Other | ANTHEM (RPA) | |
| 0113891 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 71005224A (Indiana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 71005224A (Indiana) | Primary |
| Entity Name | Kingston Care Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609185180 PECOS PAC ID: 1850589102 Enrollment ID: O20101230000649 |
| Entity Name | Pain Management Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20140616001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Geneva Dillon, NP-C 1100 Reid Pkwy, Medical Staff Services, Richmond, IN 47374-1157 Ph: (765) 935-8860 | Geneva Dillon, NP-C 1350 Chester Blvd Ste D, Richmond, IN 47374-1960 Ph: (765) 935-8860 |
Poshia Slusher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S 5th St, Richmond, IN 47374 Phone: 765-739-9245 Fax: 765-973-9206 | |
Catherine Blyth, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Chester Blvd., Suite 1, Richmond, IN 47374 Phone: 765-935-8594 Fax: 765-935-8595 | |
Mrs. Debra Kay Shaw, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 S 8th St, Richmond, IN 47374 Phone: 765-939-3947 Fax: 765-939-3950 | |
Mrs. Britney Marie Glover, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 Chester Blvd., Reid Pediatric & Internal Medicine, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5528 | |
Tabatha Nicole Timberman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Reid Pkwy Ste 130, Richmond, IN 47374 Phone: 765-935-8943 Fax: 765-935-8944 | |
Miss Kayla Jo Thomas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2302 Chester Blvd Ste A, Richmond, IN 47374 Phone: 765-488-0345 Fax: 765-488-2467 | |
Sasha Lanae Yanez-alonso, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3701 Hodgkin Road, Richmond, IN 47374 Phone: 765-939-3701 |