Agnes Capili Bacala (NPI# 1205891744, PAC ID# 7517971419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205891744 |
| PAC ID by PECOS | 7517971419 |
| Professional Enrollment ID | I20060131000220 |
| Full Name | Agnes Capili Bacala |
| Organization Legal Name | LOUISVILLE GERIATRIC ASSOCIATES |
| Address |
73 Quartermaster Ct Jeffersonville IN 47130-3623 |
| Phone Number | 8122888360 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557380086 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150044 | BAPTIST HEALTH FLOYD |
| 150009 | CLARK MEMORIAL HOSPITAL |
| 151334 | SCOTT MEMORIAL HOSPITAL |
| 180130 | BAPTIST HEALTH LOUISVILLE |
| Address | Phone | Organization |
|---|---|---|
| 41 Quartermaster Ct, Jeffersonville, IN 47130-3623 | 8122821617 | BAPTIST HEALTH MEDICAL GROUP INC |
| 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 | 8122888360 | LOUISVILLE GERIATRIC ASSOCIATES |
| 1015 Magazine St, Louisville, KY 40203-2017 | 8122888360 | LOUISVILLE GERIATRIC ASSOCIATES |
| 920 S 4th St, Louisville, KY 40203-3206 | 8122888360 | LOUISVILLE GERIATRIC ASSOCIATES |
| 1373 E State Rd, 62 Louisville Cardiology Group, Madison, IN 47250-7328 | 8128010810 | BAPTIST HEALTH MEDICAL GROUP INC |
| Organization Legal Name | LOUISVILLE GERIATRIC ASSOCIATES |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia Lee Nisbet | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Muhammad I Masroor | Geriatric Medicine | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Lindsay R Jones | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Brittany D Mcdole | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Stacy M Garcia | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Brooke A Miller | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Michelle L Vissing | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Amy N Ledford | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Amanda J Wade | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Street Address |
73 QUARTERMASTER CT |
| City | JEFFERSONVILLE |
| State | IN |
| Zip | 47130-3623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia Lee Nisbet | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Lindsay R Jones | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Brittany D Mcdole | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Stacy M Garcia | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Michelle L Vissing | Nurse Practitioner | Louisville Geriatric Associates | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Farheen J Hasnain | Internal Medicine | Louisville Geriatric Associates Pllc | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Terry | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Lori D Duggins | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Timothy Wise | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Amy Lee Smith | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Pamela Ward | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Lyndsey M Zajac | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Charles F Kemper | Allergy/immunology | 1507 Spring St, Jeffersonville, IN 47130-2939 | |
| Michael C Nicoson | Hand Surgery | Hand and Wrist of Louisville Pllc | 200 Missouri Ave, Suite 18, Jeffersonville, IN 47130-3061 |
| Scott T Rotterman | Podiatry | Sports Medicine Surgical Specialists Pllc | 200 Missouri Ave, Suite A, Jeffersonville, IN 47130-3061 |
| Salle B Mcafee | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Associates Psc | 200 Missouri Ave, Jeffersonville, IN 47130-3061 |
| Find all physicians in zip 47130 | |||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JEFFERSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Agnes Capili Bacala.
| 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.