| Jessica Rae Ebey, NP | |
|
1120 W South St, Bremen, IN 46506-1849 | |
| (574) 301-7012 | |
| (574) 301-7025 |
| Full Name | Jessica Rae Ebey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1120 W South St, Bremen, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134897242 | NPI | - | NPPES |
| 300057089 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71011888A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Goshen Hospital | Goshen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Health System Inc | 4880598572 | 140 |
| Entity Name | Goshen Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Rae Ebey, NP 211 N Shaffer St, Milford, IN 46542-9787 Ph: (574) 267-7169 | Jessica Rae Ebey, NP 1120 W South St, Bremen, IN 46506-1849 Ph: (574) 301-7012 |
Mrs. Lensa Gideon Girsha, BSN, MS, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-3730 | |
Kimberly Kay Dietrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330 | |
Sharlotte Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 | |
Ernest Dontae Young, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330 | |
Alyssa Ingle, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 | |
Bethany Metz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 |