| Sara Elizabeth Brainerd, NP-C | |
|
1310 Lebanon Street, Lebanon, IN 46052-3076 | |
| (765) 482-7005 | |
| (765) 483-2517 |
| Full Name | Sara Elizabeth Brainerd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1310 Lebanon Street, Lebanon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013924224 | NPI | - | NPPES |
| 100270530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | AG06210272 (Indiana) | Primary |
| Entity Name | American Health Network Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831236272 PECOS PAC ID: 9830093533 Enrollment ID: O20031124000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Elizabeth Brainerd, NP-C 1310 S Lebanon St, Lebanon, IN 46052-3076 Ph: (765) 482-7005 | Sara Elizabeth Brainerd, NP-C 1310 Lebanon Street, Lebanon, IN 46052-3076 Ph: (765) 482-7005 |
Mrs. Nora Camille Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727 | |
Mrs. Staci Jeanne Sides, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 | |
Allison Rae Shrack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 | |
Mr. Mitchell Lee Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 | |
Jennifer Holladay, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 765-482-3630 | |
Alexandria Joanne Roemke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 |