| Robert J Whitacre, RN, APN | |
|
6655 E Us Highway 36, Avon, IN 46123-8923 | |
| (888) 714-1927 | |
| (317) 272-0807 |
| Full Name | Robert J Whitacre |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 6655 E Us Highway 36, Avon, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598134512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71005740A (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71005740A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Behavioral Health Llc | 4587834874 | 99 |
| Entity Name | Cummins Behavioral Health Systems Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232115 PECOS PAC ID: 1850296302 Enrollment ID: O20031206000039 |
| Entity Name | Midwest Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Whitacre, RN, APN 6655 E Us Highway 36, Avon, IN 46123-8923 Ph: (888) 714-1927 | Robert J Whitacre, RN, APN 6655 E Us Highway 36, Avon, IN 46123-8923 Ph: (888) 714-1927 |
Christi Lynn Crimmins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7975 E Us Highway 36, Avon, IN 46123 Phone: 317-355-9250 Fax: 317-806-1133 | |
Megan Burton, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 | |
Melissa Grimes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8607 E Us Highway 36 Ste 300, Avon, IN 46123 Phone: 317-718-7960 | |
Jill Suzanne Dana, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906 | |
Victoria Neuses, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 317-742-1340 Fax: 317-203-1066 | |
Sara Diann Ridlen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7990 E Us Highway 36, Avon, IN 46123 Phone: 866-389-2727 | |
Brittany Renee Montgomery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906 |