| Pulaski Memorial Hospital | |
|
540 Hospital Dr Winamac IN 46996-1173 | |
| (574) 946-2194 | |
| (574) 946-2196 |
| Full Name | Pulaski Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 540 Hospital Dr, Winamac, Indiana |
| Authorized Official Name and Position | Gregg Malott (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 5749462100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulaski Memorial Hospital Po Box 279 Winamac IN 46996-0279 Ph: (574) 946-2100 | Pulaski Memorial Hospital 540 Hospital Dr Winamac IN 46996-1173 Ph: (574) 946-2194 |
| NPI Number | 1740403419 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3173515509 |
|---|---|
| Medicare Enrollment ID | O20040402000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740403419 | NPI | - | NPPES |
| 100270360A | Medicaid | IN | |
| 201272330A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Indiana) | Primary |
| Provider Name | Scott P Fielder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689682072 PECOS PAC ID: 6204819311 Enrollment ID: I20040610000299 |
| Provider Name | William K Oliver |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730149261 PECOS PAC ID: 1557349693 Enrollment ID: I20040713001372 |
| Provider Name | Wade Hsu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487654851 PECOS PAC ID: 2062440688 Enrollment ID: I20050803000673 |
| Provider Name | Curtis M Bejes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730272857 PECOS PAC ID: 5890893481 Enrollment ID: I20070605000472 |
| Provider Name | Clinton Kauffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013062686 PECOS PAC ID: 8325017957 Enrollment ID: I20070828000370 |
| Provider Name | Richard C Voorhees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407047186 PECOS PAC ID: 9537231147 Enrollment ID: I20080626000214 |
| Provider Name | Bradly S Healton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154337988 PECOS PAC ID: 6709944119 Enrollment ID: I20081028000745 |
| Provider Name | Rex Allman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699773994 PECOS PAC ID: 8527128057 Enrollment ID: I20081113000571 |
| Provider Name | Chantel K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235369380 PECOS PAC ID: 2668412479 Enrollment ID: I20091001000005 |
| Provider Name | Timothy D Gearhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285871673 PECOS PAC ID: 8123165412 Enrollment ID: I20091019000366 |
| Provider Name | Patricia L Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134455363 PECOS PAC ID: 6901947456 Enrollment ID: I20100106000750 |
| Provider Name | Beth A Ruff-crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295061141 PECOS PAC ID: 2163563396 Enrollment ID: I20100109000006 |
| Provider Name | Gene V Fedor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871637272 PECOS PAC ID: 4183803943 Enrollment ID: I20110125001079 |
| Provider Name | Majed Al-hamwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568665917 PECOS PAC ID: 9133291198 Enrollment ID: I20110218000670 |
| Provider Name | Sandra L Ringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023269040 PECOS PAC ID: 1759557267 Enrollment ID: I20120105000255 |
| Provider Name | Daniel R Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790813442 PECOS PAC ID: 8325274764 Enrollment ID: I20131113001772 |
| Provider Name | Eileen Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033446984 PECOS PAC ID: 9436376753 Enrollment ID: I20140811001809 |
| Provider Name | Melissa D Zahrt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447546031 PECOS PAC ID: 8022238856 Enrollment ID: I20140930000934 |
| Provider Name | Valerie J Leman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639467491 PECOS PAC ID: 8123272465 Enrollment ID: I20150929000176 |
| Provider Name | Catherine Therese Dywan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770839797 PECOS PAC ID: 1355563248 Enrollment ID: I20160125001134 |
| Provider Name | Samantha J Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558725689 PECOS PAC ID: 4486952942 Enrollment ID: I20160415001968 |
| Provider Name | Warren Larry Penrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851590269 PECOS PAC ID: 5294966917 Enrollment ID: I20160831001392 |
| Provider Name | Laura Faye Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144763855 PECOS PAC ID: 4587945134 Enrollment ID: I20161220000618 |
| Provider Name | Rebecca M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730686114 PECOS PAC ID: 0446514574 Enrollment ID: I20180426000087 |
| Provider Name | Nathan Lee Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619473873 PECOS PAC ID: 3971853490 Enrollment ID: I20180905000048 |
| Provider Name | Whitney D Scheffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376023648 PECOS PAC ID: 3274883350 Enrollment ID: I20180911002833 |
| Provider Name | Cynthia N Oezer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790251239 PECOS PAC ID: 0345584173 Enrollment ID: I20181205003278 |
| Provider Name | Tisha A Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851862585 PECOS PAC ID: 0648515635 Enrollment ID: I20181219002028 |
| Provider Name | Christine M Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952637308 PECOS PAC ID: 4385816164 Enrollment ID: I20190102002919 |
| Provider Name | Timothy R Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386178861 PECOS PAC ID: 8022387497 Enrollment ID: I20191212002769 |
| Provider Name | Taylor Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821635012 PECOS PAC ID: 7315371556 Enrollment ID: I20191223000602 |
| Provider Name | Nadine Alene Nufer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245853258 PECOS PAC ID: 3971924028 Enrollment ID: I20200528001722 |
| Provider Name | Randy C Lehman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912388414 PECOS PAC ID: 4981916830 Enrollment ID: I20200713001106 |
| Provider Name | Diana Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215525100 PECOS PAC ID: 2264682590 Enrollment ID: I20210114001243 |
| Provider Name | Morgan Renee Oberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558959791 PECOS PAC ID: 9830506237 Enrollment ID: I20210331002911 |
| Provider Name | Morgan Joann Faanes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659860096 PECOS PAC ID: 8123373867 Enrollment ID: I20210623001553 |
| Provider Name | Shannon Ellen Tingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962155994 PECOS PAC ID: 0143616086 Enrollment ID: I20220401001469 |
| Provider Name | Taylor A Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104574037 PECOS PAC ID: 5799172201 Enrollment ID: I20220503000230 |
| Provider Name | Michael Ryan Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407419914 PECOS PAC ID: 5193059335 Enrollment ID: I20220616002564 |
| Provider Name | Jennifer Biesiadecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902366412 PECOS PAC ID: 3678807880 Enrollment ID: I20220729000418 |
| Provider Name | Alexa Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477275543 PECOS PAC ID: 7113303306 Enrollment ID: I20220926000501 |
| Provider Name | Adam Van Meter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568248946 PECOS PAC ID: 1850745787 Enrollment ID: I20230927000681 |
| Provider Name | Lisa H Reaves |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346297058 PECOS PAC ID: 9638154248 Enrollment ID: I20240308001741 |
Brian A Johnson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Terrace Dr, Winamac, IN 46996 Phone: 574-946-6644 | |
Proactive Mso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 School Dr, Winamac, IN 46996 Phone: 812-645-1892 | |
Allman Family Practice,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Terrace Dr, Winamac, IN 46996 Phone: 574-946-6677 Fax: 574-946-7801 | |
Curtis Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2418 N. Curtis Drive, Suite B, Winamac, IN 46996 Phone: 574-946-7900 Fax: 574-946-7936 | |
Ourhealth Physician Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 S. County Road 100 W, Winamac, IN 46996 Phone: 574-355-3111 | |
Knox-winamac Community Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E Pearl St, Winamac, IN 46996 Phone: 574-946-6196 Fax: 574-946-7051 | |
Utes Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E 13th St, Winamac, IN 46996 Phone: 574-946-6886 Fax: 574-946-7342 |