Unknown Individual – Psychiatry Physician, NPI 1104812353
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Evansville State Hospital, 3400, Lincoln Avenue, Evansville, Vanderburgh County, Indiana, 47714, United States
EVANSVILLE, IN 477140147
Phone: (812) 469-6800
Type: Mailing
1101 PROFESSIONAL BLVD STE 100
EVANSVILLE, IN 477148018
Phone: (812) 477-7246
Type: Location
3400 Lincoln Ave
Evansville, IN 477140147
Phone: (812) 469-6800
Type: Location
8000 Centerview Pkwy Ste 100
Cordova, TN 380184289
Phone: (901) 494-5901
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47714)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | IN | 90792 | Psychiatric diagnostic evaluation with medical services | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IN | |
| Pain Management, Anesthesiology, Interventional Pain Management | IN | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | IN | |
| - | IN | |
| Interventional Pain Management, Anesthesiology | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | IN | |
| Nurse Practitioner | KY |
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