Provider Demographics
NPI:1508863788
Name:SHERER, RACHELLE E (MD)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:E
Last Name:SHERER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7240 S. US HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:HUNTINGBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47542-9450
Mailing Address - Country:US
Mailing Address - Phone:812-683-9020
Mailing Address - Fax:812-683-9024
Practice Address - Street 1:7240 S US HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:HUNTINGBURG
Practice Address - State:IN
Practice Address - Zip Code:47542-9450
Practice Address - Country:US
Practice Address - Phone:812-683-9020
Practice Address - Fax:812-683-9024
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047379A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200373370Medicaid
219390BOtherMEDICARE
IN000000338340OtherANTHEM
IN000000557307OtherANTHEM PIN
IN250470OtherMEDICARE GROUP
IN250470ZMedicare PIN