Dermatology Associates of Indy LLC
A Medicare group practice based in Evansville, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1658697453), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1658697453
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- IN
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150312002083 | IN | Part B Supplier - Clinic/Group Practice | 1962808774 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Dermatology Associates of Indy LLC
- Dermatology Physician
- Evansville, IN
- NPI 1962808774
-
Dermatology Associates of Indy LLC
- Dermatology Physician
- Greenwood, IN
- NPI 1770959520
Practice locations
- Evansville, IN1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Alexandria Anderson, MSN, FNP-C
- Family Nurse Practitioner
- Evansville, IN
- NPI 1881530582
-
Cole David Lundquist, MD
- Dermatology Physician
- Park Ridge, IL
- NPI 1982688891
-
Vanessa M Mischler, NP
- Nurse Practitioner
- Evansville, IN
- NPI 1104508993
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.