Bloomington Meadows GP
A Medicare group practice based in Bloomington, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6002707494), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6002707494
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IN
- Enrollments
- 2
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040324000255 | IN | Part B Supplier - Clinic/Group Practice | 1033298120 |
| O20051004000352 | IN | Part A Provider - Hospital | 1891796108 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bloomington Meadows GP
- Family Nurse Practitioner
- Bloomington, IN
- NPI 1033298120
-
Bloomington Meadows GP
- Psychiatric Hospital
- Bloomington, IN
- NPI 1891796108
Practice locations
- Bloomington, IN2
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (10).
-
Shahzad Ahmad, D.O.
- Psychiatry Physician
- Vincennes, IN
- NPI 1710626106
-
Christian Lederach Allebach
- Psychiatry Physician
- Indianapolis, IN
- NPI 1417586892
-
Derek Booth
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, IN
- NPI 1568852986
-
Jessi Lyn Bowman, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1104706316
-
Molly Renee Shankles Bullington, MD
- Psychiatry Physician
- Knoxville, TN
- NPI 1346702313
-
Matthew Howard Clardy, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1962282509
-
Jennifer A Comer, MD
- Psychiatry Physician
- Greenwood, IN
- NPI 1669513784
-
Kimberly Gray, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Greenwood, IN
- NPI 1265165229
-
Shanaz Nacy Judge, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1710695937
-
Arthur Lyakhovetsky, MD
- Geriatric Psychiatry Physician
- Hollywood, FL
- NPI 1124097142
-
Eric Lyakhovetsky, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1134780851
-
Rachel Payne, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1619650215
-
Rachel Elise Stahl, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1982452413
-
Shila Thapa, NP
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
- NPI 1356062467
-
Grace Thomas, MD
- Psychiatry Physician
- Manhattan, KS
- NPI 1104860782
-
Karri Jacqueline Woodard
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1447912423
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.