| Ann B. Patterson Md, Pc | |
|
721 W 13th St Ste 322 Jasper IN 47546-1855 | |
| (812) 634-6646 | |
| (812) 634-2104 |
| Full Name | Ann B. Patterson Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 721 W 13th St, Jasper, Indiana |
| Authorized Official Name and Position | Ann B Patterson (OWNER) |
| Authorized Official Contact | 8126346646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann B. Patterson Md, Pc 721 W 13th St Ste 322 Jasper IN 47546-1855 Ph: (812) 634-6646 | Ann B. Patterson Md, Pc 721 W 13th St Ste 322 Jasper IN 47546-1855 Ph: (812) 634-6646 |
| NPI Number | 1033317169 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Medicare PECOS PAC ID | 6709806086 |
|---|---|
| Medicare Enrollment ID | O20051201000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033317169 | NPI | - | NPPES |
| 000000381262 | Other | IN | BCBS PIN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01047312A (Indiana) | Primary |
| Provider Name | Ann B Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310627 PECOS PAC ID: 8426078700 Enrollment ID: I20051205000135 |
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