| Indiana Exceptional Medical Care | |
|
4972 Lincoln Ave Ste #101 Evansville IN 47715-7909 | |
| (812) 402-3700 | |
| (812) 402-4611 |
| Full Name | Indiana Exceptional Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4972 Lincoln Ave, Evansville, Indiana |
| Authorized Official Name and Position | Arin Mcmanaway (OFFICE MANAGER) |
| Authorized Official Contact | 8124024645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Exceptional Medical Care 4972 Lincoln Ave Ste #101 Evansville IN 47715-7909 Ph: (812) 402-3700 | Indiana Exceptional Medical Care 4972 Lincoln Ave Ste #101 Evansville IN 47715-7909 Ph: (812) 402-3700 |
| NPI Number | 1669708756 |
|---|---|
| Provider Enumeration Date | 10/23/2009 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 8527241488 |
|---|---|
| Medicare Enrollment ID | O20110330000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669708756 | NPI | - | NPPES |
| 1043282627 | Other | INDIVIDUAL NPI | |
| 200807410A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 01061287A (Indiana) | Primary |
| Provider Name | Bernard J Kay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649202631 PECOS PAC ID: 8820991623 Enrollment ID: I20040823000236 |
| Provider Name | Bachar Y Malek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043282627 PECOS PAC ID: 9537177605 Enrollment ID: I20060331000034 |
| Provider Name | Shawna E Dellay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710386214 PECOS PAC ID: 0042533184 Enrollment ID: I20141222002555 |
| Provider Name | Abbie R Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558742197 PECOS PAC ID: 0749581163 Enrollment ID: I20151209000120 |
| Provider Name | Amber L Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649649781 PECOS PAC ID: 2668779596 Enrollment ID: I20160321001470 |
| Provider Name | Manda Hess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194197566 PECOS PAC ID: 0749563526 Enrollment ID: I20170202001264 |
| Provider Name | Sarah Seaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275086324 PECOS PAC ID: 1456628452 Enrollment ID: I20170523001126 |
| Provider Name | De'yonna C Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144503 PECOS PAC ID: 8921371568 Enrollment ID: I20170905000097 |
| Provider Name | Meagan Sue Malek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487158432 PECOS PAC ID: 3577884253 Enrollment ID: I20180420000935 |
| Provider Name | Megan Ann Seifert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609363852 PECOS PAC ID: 5890042477 Enrollment ID: I20180730000001 |
| Provider Name | Krista R Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497248850 PECOS PAC ID: 2961750831 Enrollment ID: I20180809000352 |
| Provider Name | Chelsea Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457830465 PECOS PAC ID: 9133479306 Enrollment ID: I20180910001109 |
| Provider Name | Karie Ann Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134601214 PECOS PAC ID: 7113277088 Enrollment ID: I20180914000134 |
| Provider Name | Aisha Havill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235779620 PECOS PAC ID: 0446688386 Enrollment ID: I20200307000168 |
| Provider Name | Lisa Bridwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902427917 PECOS PAC ID: 9830511351 Enrollment ID: I20200714000566 |
| Provider Name | Haley Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205441532 PECOS PAC ID: 2769894724 Enrollment ID: I20201215003218 |
| Provider Name | Alyss Lcsw Schoenbaechler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568941888 PECOS PAC ID: 3274945969 Enrollment ID: I20201222002755 |
| Provider Name | Emily K Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962095745 PECOS PAC ID: 7113334327 Enrollment ID: I20210721003808 |
| Provider Name | Carrie Gresham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118158 PECOS PAC ID: 0042615619 Enrollment ID: I20210819001353 |
| Provider Name | Desiree Fawn Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962167551 PECOS PAC ID: 3870982028 Enrollment ID: I20211110000943 |
| Provider Name | Sarah Enlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639838824 PECOS PAC ID: 8527459007 Enrollment ID: I20211216000847 |
| Provider Name | Lauren Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407570864 PECOS PAC ID: 9739526468 Enrollment ID: I20240318001604 |
| Provider Name | Elyse Harry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225583933 PECOS PAC ID: 3870889918 Enrollment ID: I20240712003365 |
| Provider Name | Brittany Winona Plahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255164562 PECOS PAC ID: 1759822182 Enrollment ID: I20240925001284 |
| Provider Name | Jaclyn Marie Nalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063245512 PECOS PAC ID: 8123550613 Enrollment ID: I20241022004104 |
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