| Elevate Care Clinic LLC | |
|
503 W National Ave Brazil IN 47834-2502 | |
| (812) 251-4873 | |
| Not Available |
| Full Name | Elevate Care Clinic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 503 W National Ave, Brazil, Indiana |
| Authorized Official Name and Position | Kaitlyn Nevill (OWNER) |
| Authorized Official Contact | 8122514873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Care Clinic LLC 4160 N Private Road 220 E Brazil IN 47834-8354 Ph: (812) 251-4873 | Elevate Care Clinic LLC 503 W National Ave Brazil IN 47834-2502 Ph: (812) 251-4873 |
| NPI Number | 1891497590 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/18/2023 |
| Medicare PECOS PAC ID | 5597126839 |
|---|---|
| Medicare Enrollment ID | O20230802002135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891497590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Kaitlyn Marie Nevill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740760784 PECOS PAC ID: 5496092074 Enrollment ID: I20190122001254 |
| Provider Name | Jennifer Jayne Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801776638 PECOS PAC ID: 6507362621 Enrollment ID: I20250929002236 |
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