| Katrina Jane Ricketts, FNP-C | |
|
1401 Professional Blvd, Evansville, IN 47714-8014 | |
| (812) 473-2060 | |
| (812) 473-0763 |
| Full Name | Katrina Jane Ricketts |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1401 Professional Blvd, Evansville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326820895 | NPI | - | NPPES |
| 7100949430 | Medicaid | KY | |
| 71014723A | Other | IN | IN STATE LICENSE |
| 71014723B | Other | IN | IN CSR |
| 1103804757 | Other | IN | ANTHEM BCBS |
| 28201849A | Other | IN | REGISTERED INDIANA NURSING LICENSE |
| 1133226 | Other | KY | REGISTERED KENTUCKY NURSING LICENSE |
| 28207249A | Other | IN | STATE LICENSE |
| 300084520 | Medicaid | IN | |
| F11230253 | Other | IN | FNP CERT |
| Entity Name | Midwest Ear Nose And Throat Surgery Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437153285 PECOS PAC ID: 3173516887 Enrollment ID: O20060124000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Jane Ricketts, FNP-C 1401 Professional Blvd, Evansville, IN 47714-8014 Ph: (812) 473-2060 | Katrina Jane Ricketts, FNP-C 1401 Professional Blvd, Evansville, IN 47714-8014 Ph: (812) 473-2060 |
Kelly Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Covert Ave, Evansville, IN 47714 Phone: 812-476-9983 Fax: 812-437-6149 | |
Megan E Mayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-492-5055 Fax: 812-402-9857 | |
Valerie A Turpen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1750 Oak Hill Rd, Evansville, IN 47711 Phone: 812-485-2580 Fax: 812-485-2590 | |
Melissa L Attebury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8600 University Blvd Rm Hp0091, Evansville, IN 47712 Phone: 812-465-1250 Fax: 812-465-7170 | |
Angela L Sams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4498 1st Ave, Evansville, IN 47710 Phone: 812-436-7280 Fax: 812-436-7290 | |
Chelsea Miles, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 958c S Kenmore Dr, Evansville, IN 47714 Phone: 812-477-2760 | |
Roseanna L Parkhurst Gatewood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Bellemeade Ave Ste 202, Evansville, IN 47714 Phone: 812-485-5800 |