| Stephen Michael Forcum, | |
|
1606 N 7th St, Terre Haute, IN 47804-2706 | |
| (812) 238-7000 | |
| Not Available |
| Full Name | Stephen Michael Forcum |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1606 N 7th St, Terre Haute, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417704453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10004446A (Indiana) | Primary |
| 363A00000X | Physician Assistant | (NU) | Secondary |
| Entity Name | Indiana University Health Southern Indiana Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Michael Forcum, 39 Lakeview Dr, Terre Haute, IN 47803-2413 Ph: (760) 884-9897 | Stephen Michael Forcum, 1606 N 7th St, Terre Haute, IN 47804-2706 Ph: (812) 238-7000 |
Javanna Semma, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 567 N 5th St, Terre Haute, IN 47809 Phone: 248-308-8469 |
Briseida Oceguera Perez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3560 S 4th St, Terre Haute, IN 47802 Phone: 812-235-8496 Fax: 812-478-1540 |
Miss Jennifer Lynne Brooks, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1801 N 6th St Ste 600, Terre Haute, IN 47804 Phone: 812-235-4867 Fax: 812-232-8059 |
Ashley Stakeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th St Ste A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391 |
Briana Aguilar, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Wabash Ave Apt 404, Terre Haute, IN 47807 Phone: 954-646-8400 |
Srisamhita Vagdevi Ghorakavi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6737 Clubhouse Ln, Terre Haute, IN 47809 Phone: 301-655-1614 |
Isabella Willitzer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 567 N 5th St, Terre Haute, IN 47809 Phone: 812-237-3632 |