Anthony Ezra Lilly (NPI# 1669586517, PAC ID# 0840204970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1669586517 |
| PAC ID by PECOS | 0840204970 |
| Professional Enrollment ID | I20060127000593 |
| Full Name | Anthony Ezra Lilly |
| Address |
753 N State St North Vernon IN 47265-1044 |
| Gender | M |
| Credential | CP |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 753 N State St, North Vernon, IN 47265-1044 |
| Street Address |
753 N STATE ST |
| City | NORTH VERNON |
| State | IN |
| Zip | 47265-1044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chassie A Broadus | Optometry | Expert Eyecare PC | 401 Henry St, North Vernon, IN 47265-1003 |
| William D Burnett | Optometry | Expert Eyecare PC | 401 Henry St, North Vernon, IN 47265-1003 |
| Thomas J Small | Emergency Medicine | Indiana Physician Management-jennings, LLC | 301 Henry St, North Vernon, IN 47265-1030 |
| Lynnette Caudill Wickliff | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, Building B, North Vernon, IN 47265-1030 |
| Nancy Ellen Marshall | Internal Medicine | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Katherine Denise Conover | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Linda Renee Hefner | Pediatric Medicine | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Judith Ann Koehler | Internal Medicine | St Vincent Medical Group Inc | 301 Henry St, Building B, North Vernon, IN 47265-1030 |
| Margaret Gibson Parker | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| James T Lisle | Optometry | Lisle Family Eye Care Inc | 747 N State St, Eye Care Group, North Vernon, IN 47265-1044 |
| Find all physicians in zip 47265 | |||
| City | NORTH VERNON |
| Zip Code | 47265 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | NORTH VERNON + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Anthony Ezra Lilly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.