<unavail> in Kokomo, IN - Medicare Clinic/Center

is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Kokomo, Indiana. The current practice location for is 3118 S Lafountain St, Kokomo, Indiana. For appointments, you can reach them via phone at (765) 864-4160. The mailing address for is 8003 Castleway Dr, Indianapolis, Indiana and phone number is (317) 576-1335.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811007800. 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 (765) 864-4160.

Contact Information


	3118 S Lafountain St Kokomo IN 46902-3710
	(765) 864-4160
	(765) 400-4467

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	3118 S Lafountain St, Kokomo, Indiana
Authorized Official Name and Position	Tracy Nagel (CHIEF FINANCIAL OFFICER)
Authorized Official Contact	3175761335
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335	3118 S Lafountain St Kokomo IN 46902-3710 Ph: (765) 864-4160

NPI Details:

NPI Number	1811007800
Provider Enumeration Date	08/30/2006
Last Update Date	03/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	3971599473
Medicare Enrollment ID	O20061110000386

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811007800	NPI	-	NPPES
100071250 A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	(* (Not Available))	Secondary
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Reviews and Comments

Dental Clinics in Kokomo, IN

Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2362 West Blvd, Suite A, Kokomo, IN 46902 Phone: 765-452-0530 Fax: 765-452-0573
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Kokomo Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 S Dixon Rd Ste 425, Kokomo, IN 46902 Phone: 765-453-6000
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2362 W Blvd, Suite B, Kokomo, IN 46902 Phone: 765-236-1570 Fax: 765-236-1571
Howard County Oral And Maxillofacial Surgeons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1970 W Boulevard, Kokomo, IN 46902 Phone: 765-868-2222 Fax: 765-868-8119
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 E Alto Rd, Kokomo, IN 46902 Phone: 765-453-4261 Fax: 765-453-4829
Family And Cosmetic Dentistry Of Kokomo, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Clinton Dr, Kokomo, IN 46902 Phone: 765-453-4369

- Medicare Dental Clinic in Kokomo, IN