| Lisa Sue Jones, NP | |
|
2400 17th St, Columbus, IN 47201-5351 | |
| (812) 376-5974 | |
| (812) 375-3203 |
| Full Name | Lisa Sue Jones |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 2400 17th St, Columbus, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336197672 | NPI | - | NPPES |
| 200531190 | Medicaid | IN | |
| P01292242 | Other | IN | RAILROAD MEDICARE FOR CRITICAL CARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71001246 (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71001246A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eskenazi Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Physician Group Indiana Pulmonary Services Llc | 4688008899 | 2 |
| In Charge Medical Professionals, Llc | 9436474178 | 10 |
| Entity Name | In Charge Medical Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124426606 PECOS PAC ID: 9436474178 Enrollment ID: O20150220001634 |
| Entity Name | Impact Physician Group Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568930220 PECOS PAC ID: 6608111026 Enrollment ID: O20181212003675 |
| Entity Name | Impact Physician Group Indiana Pulmonary Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760036925 PECOS PAC ID: 4688008899 Enrollment ID: O20191221000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Sue Jones, NP 411 Plaza Dr, Suite H, Columbus, IN 47201-2916 Ph: (812) 376-5974 | Lisa Sue Jones, NP 2400 17th St, Columbus, IN 47201-5351 Ph: (812) 376-5974 |
Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804 | |
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640 | |
Carolyn Behling, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400 | |
Shelley L Clark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781 | |
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660 | |
Heather Ann Brott, APRN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste C, Columbus, IN 47201 Phone: 812-372-8426 |