| Advanced Healthcare PC | |
|
1200 Professional Blvd. Evansville IN 47714-8002 | |
| (812) 479-9500 | |
| (812) 437-0037 |
| Full Name | Advanced Healthcare PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Professional Blvd., Evansville, Indiana |
| Authorized Official Name and Position | Nancy a Phelps (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 8124799500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Healthcare PC 1200 Professional Blvd. Evansville IN 47714-8002 Ph: (812) 479-9500 | Advanced Healthcare PC 1200 Professional Blvd. Evansville IN 47714-8002 Ph: (812) 479-9500 |
| NPI Number | 1801051990 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 1557435633 |
|---|---|
| Medicare Enrollment ID | O20080807000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801051990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | William J Tuley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952366643 PECOS PAC ID: 0840364923 Enrollment ID: I20080807000358 |
| Provider Name | Carla Marie Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336768993 PECOS PAC ID: 2961826755 Enrollment ID: I20220614001810 |
| Provider Name | Andrea Rose Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235883232 PECOS PAC ID: 4688047046 Enrollment ID: I20230306001180 |
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