Matthew 25 AIDS Services Inc
A Medicare group practice based in Evansville, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375513641), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3375513641
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- IN, KY
- Enrollments
- 3
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040727000113 | KY | Part B Supplier - Clinic/Group Practice | 1457355125 |
| O20080624000755 | IN | Part B Supplier - Clinic/Group Practice | 1457355125 |
| O20241223002068 | IN | Part B Supplier - Pharmacy | 1598531691 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Matthew 25 AIDS Services Inc
- Clinic/Center
- Henderson, KY
- NPI 1457355125
-
Matthew 25 AIDS Services Inc
- Community/Retail Pharmacy
- Evansville, IN
- NPI 1598531691
Practice locations
- Evansville, IN2
- Owensboro, KY1
- Henderson, KY1
- Bowling Green, KY1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (7).
-
Tonya Faye Dixon, LPCC, LMHC
- Mental Health Counselor
- Evansville, IN
- NPI 1659617330
-
Courtney House
- Family Nurse Practitioner
- Henderson, KY
- NPI 1386442432
-
Tyler Jordan Israel
- Physician Assistant
- Owensboro, KY
- NPI 1235697301
-
Jacob R. Kiper
- Mental Health Counselor
- Henderson, KY
- NPI 1922249796
-
Wade Michael McGuire, LPCC
- Professional Counselor
- Bowling Green, KY
- NPI 1902296056
-
Charlie Clushettea Rose, APRN
- Family Nurse Practitioner
- Bowling Green, KY
- NPI 1245996644
-
Kristina Anne Sifuentes, APRN FNP-BC
- Family Nurse Practitioner
- Earlington, KY
- NPI 1306626874
-
Marissa Traub
- Family Nurse Practitioner
- Evansville, IN
- NPI 1801541396
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.