| Mackenzie Rose Betz, PA | |
|
721 W 13th St Ste 321, Jasper, IN 47546-1857 | |
| (812) 996-7918 | |
| Not Available |
| Full Name | Mackenzie Rose Betz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 721 W 13th St Ste 321, Jasper, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235755190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 10002980A (Indiana) | Primary |
| Entity Name | Deaconess Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114120128 PECOS PAC ID: 4587578042 Enrollment ID: O20031118000733 |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Rose Betz, PA Po Box 1028, Jasper, IN 47547-1028 Ph: (812) 996-8478 | Mackenzie Rose Betz, PA 721 W 13th St Ste 321, Jasper, IN 47546-1857 Ph: (812) 996-7918 |
Melanie Hopf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4115 Mannheim Rd, Jasper, IN 47546 Phone: 812-476-7111 Fax: 812-476-7117 |
Abby Renee Mitchell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 955 N 400w, Jasper, IN 47546 Phone: 812-661-2021 |
Ms. Jill M Seng, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 695 W 2nd St Ste 2a, Jasper, IN 47546 Phone: 812-996-5950 Fax: 812-996-5951 |
Madison Gogel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4115 Mannheim Rd, Jasper, IN 47546 Phone: 812-476-7111 Fax: 812-476-7117 |
Ms. Deedee Imafortor Nwachukwu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 480 Eversman Dr, Jasper, IN 47546 Phone: 812-482-3020 Fax: 812-203-5848 |
Bethany Jane Lubenow, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 613 Dorbett Street, Jasper, IN 47546 Phone: 812-481-2229 Fax: 812-482-3993 |
Christopher R Dilger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W. 13th St., Suite 200, Jasper, IN 47546 Phone: 812-482-7441 Fax: 812-482-7444 |