| Jamie L Frederick, FNP-C | |
| 
					406 N 1st St, Vincennes, IN 47591-1340  | |
| (812) 885-6950 | |
| (812) 885-6951 | 
| Full Name | Jamie L Frederick | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 406 N 1st St, Vincennes, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629550165 | NPI | - | NPPES | 
| 300019241 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71008389A (Indiana) | Primary | 
| Entity Name | Good Samaritan Hospital Physician Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182  | 
| Entity Name | Good Samaritan Family Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174031256 PECOS PAC ID: 5294099321 Enrollment ID: O20190219002426  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jamie L Frederick, FNP-C 1160 E Saint Clair St, Vincennes, IN 47591-4853 Ph: (812) 885-3106  | Jamie L Frederick, FNP-C 406 N 1st St, Vincennes, IN 47591-1340 Ph: (812) 885-6950  | 
Elaine L Burcham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1910 Mcdowell Rd, Vincennes, IN 47591 Phone: 812-886-5306  | |
Veronica Lynn Delaney, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1813 Willow St Ste 5a, Vincennes, IN 47591 Phone: 812-885-8941  | |
Amy D Schafer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Buntin St Ste 1, Vincennes, IN 47591 Phone: 812-885-2718  | |
Brett Lauren Eaton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1807 Washington Ave, Vincennes, IN 47591 Phone: 812-887-1927  | |
Jennifer Hoyt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3490 S. Keller Road, Vincennes, IN 47591 Phone: 866-434-3255 Fax: 334-645-1488  | |
Catherine S Mouzin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 406 N 1st St, Vincennes, IN 47591 Phone: 812-885-0520 Fax: 812-885-0517  | |
Jennifer L Inman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 S 6th St, Vincennes, IN 47591 Phone: 812-885-3703 Fax: 812-885-3707  |