| Rachel D Roy, NP | |
|
110 S Main Street, Dale, IN 47523 | |
| (812) 301-1328 | |
| (812) 301-1349 |
| Full Name | Rachel D Roy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 110 S Main Street, Dale, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346899465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71009527A (Indiana) | Primary |
| Entity Name | Lifespring Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040315000128 |
| 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 |
|---|---|
| Rachel D Roy, NP 110 S Main Street, Dale, IN 47523 Ph: (812) 301-1328 | Rachel D Roy, NP 110 S Main Street, Dale, IN 47523 Ph: (812) 301-1328 |
Paula J Jochim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 W Vine St, Dale, IN 47523 Phone: 812-937-7140 Fax: 812-937-7145 | |
Andrea Montana, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7402 E County Road 1800 N, Dale, IN 47523 Phone: 812-661-2490 |