| Kellie Planck, | |
|
4781 Kaybee Drive, Gas City, IN 46933-6607 | |
| (765) 660-7840 | |
| (765) 671-3509 |
| Full Name | Kellie Planck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 4781 Kaybee Drive, Gas City, 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 |
|---|---|---|---|
| 1144680679 | NPI | - | NPPES |
| 0000001008936 | Other | IN | ANTHEM |
| 201358080 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71006172A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71006172A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marion General Hospital | Marion, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marion General Hospital | 9133023625 | 106 |
| Entity Name | Marion General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Planck, 330 N Wabash, Ste G20, Marion, IN 46952-2600 Ph: (765) 660-7616 | Kellie Planck, 4781 Kaybee Drive, Gas City, IN 46933-6607 Ph: (765) 660-7840 |
Julie Gearhart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4781 S Kaybee Dr, Gas City, IN 46933 Phone: 765-998-9975 Fax: 765-998-9979 | |
Rose Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 717 E Main, Gas City, IN 46933 Phone: 765-677-4719 Fax: 765-677-4727 | |
Ms. Sandra L Wright, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4781 Kaybee Dr, Gas City, IN 46933 Phone: 765-660-7840 Fax: 765-671-3509 |