| Ms Tricia Jayne Spoonmore, FNP-C | |
|
629 Lincoln Ave, Bedford, IN 47421-2142 | |
| (812) 675-4470 | |
| (812) 675-4469 |
| Full Name | Ms Tricia Jayne Spoonmore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 629 Lincoln Ave, Bedford, 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 |
|---|---|---|---|
| 1902848583 | NPI | - | NPPES |
| 200094460 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71000199A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Indiana Community Health Care Inc | 5799694360 | 20 |
| Entity Name | Southern Indiana Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tricia Jayne Spoonmore, FNP-C 629 Lincoln Ave, Bedford, IN 47421-2142 Ph: (812) 675-4470 | Ms Tricia Jayne Spoonmore, FNP-C 629 Lincoln Ave, Bedford, IN 47421-2142 Ph: (812) 675-4470 |
Mr. Tyler Lee White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Stephanie Ann Mason, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331 | |
Jamie R Bohnke, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Mrs. Alyssa Brooke Kellams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2418 16th St, Bedford, IN 47421 Phone: 812-508-8683 | |
Barbara Deich, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-5352 Fax: 812-275-1374 | |
Mrs. Amanda Sue Bowman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Cathern Amanda Pruett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 |