| Leeann Rachelle Roberts, NP | |
|
5921 W State Road 46, Bloomington, IN 47404-9359 | |
| (812) 935-8866 | |
| Not Available |
| Full Name | Leeann Rachelle Roberts |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 5921 W State Road 46, Bloomington, 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 |
|---|---|---|---|
| 1831710581 | NPI | - | NPPES |
| 7100668200 | Medicaid | KY | |
| PDZ000000500406 | Other | KY | AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER |
| 7427472 | Other | UNITED HEALTHCARE PROVIDER ID NUMBER | |
| 2234405 | Other | KY | WELLCARE OF KENTUCKY PROVIDER ID NUMBER |
| 284847 | Other | SIHO PROVIDER ID NUMBER | |
| 300037929 | Medicaid | IN | |
| 6246517 | Other | AETNA PROVIDER ID NUMBER | |
| 000001373756 | Other | ANTHEM PROVIDER ID NUMBER | |
| 3014858 | Other | KY | STATE LICENSE |
| CS2020500316 | Other | CARESOURCE PROVIDER ID NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Pain Associates Pllc | 0941441919 | 131 |
| Daviess County Hospital | 1557271665 | 55 |
| Commonwealth Pain Associates Pllc | 0941441919 | 131 |
| Commonwealth Pain Associates Pllc | 0941441919 | 131 |
| Entity Name | Daviess County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619154820 PECOS PAC ID: 1557271665 Enrollment ID: O20040412001435 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| 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 | Commonwealth Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20150504001876 |
| Mailing Address | Practice Location Address |
|---|---|
| Leeann Rachelle Roberts, NP Po Box 21890, Belfast, ME 04915-4115 Ph: (502) 907-0356 | Leeann Rachelle Roberts, NP 5921 W State Road 46, Bloomington, IN 47404-9359 Ph: (812) 935-8866 |
Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290 | |
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500 | |
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700 | |
Nichole Hickman, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 | |
Robert G Pursell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515 | |
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270 | |
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 |