Plaza Park Family Practice Llc - Medicare Primary Care in Newburgh, IN

Plaza Park Family Practice Llc is a medicare enrolled primary clinic (Family Medicine) in Newburgh, Indiana. The current practice location for Plaza Park Family Practice Llc is 3799 Venetian Way, Newburgh, Indiana. For appointments, you can reach them via phone at (812) 471-4302. The mailing address for Plaza Park Family Practice Llc is Po Box 3276, Evansville, Indiana and phone number is (812) 473-0181.

Plaza Park Family Practice Llc is licensed to practice in Indiana (license number 01036788A). The clinic also participates in the medicare program and its NPI number is 1336574490. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 471-4302.

Contact Information

Plaza Park Family Practice Llc
3799 Venetian Way
Newburgh
IN 47630-8278
(812) 471-4302
(812) 471-4303

Primary Care Clinic Profile

Full NamePlaza Park Family Practice Llc
SpecialityFamily Medicine
Location3799 Venetian Way, Newburgh, Indiana
Authorized Official Name and PositionCarleen M Rubel (PRESIDENT)
Authorized Official Contact8124714302
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Plaza Park Family Practice Llc
Po Box 3276
Evansville
IN 47731-3276

Ph: (812) 473-0181
Plaza Park Family Practice Llc
3799 Venetian Way
Newburgh
IN 47630-8278

Ph: (812) 471-4302

NPI Details:

NPI Number1336574490
Provider Enumeration Date09/09/2013
Last Update Date02/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4981830585
Medicare Enrollment IDO20131203001040

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Medical Identifiers

Medical identifiers for Plaza Park Family Practice Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336574490NPI-NPPES
DU3406OtherINRAILROAD MEDICARE
000000840875OtherINANTHEM
201195100MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01036788A (Indiana)Primary
363L00000XNurse Practitioner (Indiana)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Plaza Park Family Practice Llc acts as a billing entity for following providers:
Provider NameCarleen M Rubel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114904380
PECOS PAC ID: 3971523523
Enrollment ID: I20070409000516

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Provider NameShannon L Kratzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871821629
PECOS PAC ID: 6800921073
Enrollment ID: I20100914000752

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Provider NameElise R Schutt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215237565
PECOS PAC ID: 6800050493
Enrollment ID: I20120612000010

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Provider NameCourtney N Bender
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538455027
PECOS PAC ID: 0446405682
Enrollment ID: I20140811000879

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› Verified 7 days ago

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