Indiana Health Centers South Bend At Oaklawn - Medicare Dental Clinic in Indianapolis, IN

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Indiana Health Centers South Bend At Oaklawn is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Indianapolis, Indiana. The current practice location for Indiana Health Centers South Bend At Oaklawn is 8003 Castleway Dr, Indianapolis, Indiana. For appointments, you can reach them via phone at (317) 576-1335. The mailing address for Indiana Health Centers South Bend At Oaklawn is 8003 Castleway Dr, Indianapolis, Indiana and phone number is (317) 576-1335.

Indiana Health Centers South Bend At Oaklawn is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598776742. 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 (317) 576-1335.

Contact Information

Indiana Health Centers South Bend At Oaklawn
8003 Castleway Dr
Indianapolis
IN 46250-1946
(317) 576-1335
(317) 576-1339

Map and Direction


Dental Care Clinic Profile

Full NameIndiana Health Centers South Bend At Oaklawn
SpecialityClinic/Center
Location8003 Castleway Dr, Indianapolis, Indiana
Authorized Official Name and PositionTracy Nagel (CFO)
Authorized Official Contact3175761335
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Indiana Health Centers South Bend At Oaklawn
8003 Castleway Dr
Indianapolis
IN 46250-1946

Ph: (317) 576-1335		Indiana Health Centers South Bend At Oaklawn
8003 Castleway Dr
Indianapolis
IN 46250-1946

Ph: (317) 576-1335

NPI Details:

NPI Number1598776742
Provider Enumeration Date08/11/2006
Last Update Date11/10/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3971599473
Medicare Enrollment IDO20040430001159

Medical Identifiers

Medical identifiers for Indiana Health Centers South Bend At Oaklawn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598776742NPI-NPPES
1000071250MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 100223780 (Indiana)Secondary
207Q00000XFamily Medicine 200443050 (Indiana)Secondary
207R00000XInternal Medicine 200527220 (Indiana)Secondary
207V00000XObstetrics & Gynecology 01023827A (Indiana)Secondary
208000000XPediatrics 200284500A (Indiana)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Indiana Health Centers South Bend At Oaklawn acts as a billing entity for following providers:
Provider NameJohn B Savage
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942265483
PECOS PAC ID: 3173589116
Enrollment ID: I20041202000026
Provider NameCarol E Eldridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275536658
PECOS PAC ID: 8729044771
Enrollment ID: I20041202000101
Provider NameCarol L Sikorski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528109410
PECOS PAC ID: 3375594385
Enrollment ID: I20050208000255
Provider NameRobert Keith Dawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588727895
PECOS PAC ID: 1658303532
Enrollment ID: I20050831000811
Provider NameAaron Peter Kalinowski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063467850
PECOS PAC ID: 6103837463
Enrollment ID: I20060526000104
Provider NameJoy Rae Bohon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396745857
PECOS PAC ID: 8820180375
Enrollment ID: I20070828000972
Provider NameSteven C Obert
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1932377447
PECOS PAC ID: 1254415946
Enrollment ID: I20080219000512
Provider NameBethany A Wait
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447458096
PECOS PAC ID: 6002972544
Enrollment ID: I20090306000493
Provider NameKatherine A Mccalla Gilliatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831337682
PECOS PAC ID: 0840331872
Enrollment ID: I20100112000747
Provider NameScott Phillips
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093734626
PECOS PAC ID: 1052444353
Enrollment ID: I20100807000001
Provider NameKristina K Glick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154647634
PECOS PAC ID: 7517081375
Enrollment ID: I20100831000317
Provider NameRachel R Goss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508180639
PECOS PAC ID: 9335323773
Enrollment ID: I20110411000217
Provider NameMichael H Conn
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1932158193
PECOS PAC ID: 6406027440
Enrollment ID: I20110922000389
Provider NameTerrance J Drake
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750472049
PECOS PAC ID: 2860543048
Enrollment ID: I20120418000055
Provider NameSusan J Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134400864
PECOS PAC ID: 4789840885
Enrollment ID: I20120718000001
Provider NameAkila T Karanja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447506688
PECOS PAC ID: 9032365291
Enrollment ID: I20120803000709
Provider NameKellie A Kilrain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255682894
PECOS PAC ID: 3476796350
Enrollment ID: I20130823001315
Provider NameRobert Eugene Zentz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992790919
PECOS PAC ID: 3779711445
Enrollment ID: I20140102001545
Provider NamePhillip R Renfroe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023105707
PECOS PAC ID: 2163581927
Enrollment ID: I20140109001701
Provider NameGertrude Mumba-kaunda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093146631
PECOS PAC ID: 4981835626
Enrollment ID: I20150415002017
Provider NameElizabeth A Dulmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255708988
PECOS PAC ID: 7719287010
Enrollment ID: I20151118000393
Provider NameTabitha D Pena
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457722142
PECOS PAC ID: 9032412325
Enrollment ID: I20160120001552
Provider NameDeborah A Davidson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063813178
PECOS PAC ID: 8426270935
Enrollment ID: I20170814000942
Provider NameSoneka Wynter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841705951
PECOS PAC ID: 3476812553
Enrollment ID: I20180117002757
Provider NameStephen Daniel Conrad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346735370
PECOS PAC ID: 9436408192
Enrollment ID: I20180814003055
Provider NameLacey R Rosinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689230096
PECOS PAC ID: 5799014924
Enrollment ID: I20190912001730
Provider NameJames B Levenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548726003
PECOS PAC ID: 0143551804
Enrollment ID: I20191010000286
Provider NameBrooke Wolfe Gregory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205474921
PECOS PAC ID: 6507291382
Enrollment ID: I20200124001714
Provider NameJoanna Leigh Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326686395
PECOS PAC ID: 0244668234
Enrollment ID: I20200325003440
Provider NameBrandi Lea Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194262279
PECOS PAC ID: 2365866134
Enrollment ID: I20200727001995
Provider NameMackenzie Austgen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1477903391
PECOS PAC ID: 4082038781
Enrollment ID: I20200727003169
Provider NameJay Lee Hoeksema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124625926
PECOS PAC ID: 9638599350
Enrollment ID: I20201020000259
Provider NameVicki Lynn Lederle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508454778
PECOS PAC ID: 9931344777
Enrollment ID: I20210226000987
Provider NameCynthia Louise Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700477288
PECOS PAC ID: 9436567435
Enrollment ID: I20210412001509
Provider NameMelanie Lehr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922681329
PECOS PAC ID: 8921417536
Enrollment ID: I20210512001198
Provider NameSamantha Jo Fritch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558933762
PECOS PAC ID: 4082018452
Enrollment ID: I20210806000900
Provider NameAmina Maisoon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942796792
PECOS PAC ID: 2264775378
Enrollment ID: I20210831000656
Provider NameVaishali Karnik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295263564
PECOS PAC ID: 7214334259
Enrollment ID: I20210917002390
Provider NameApril Christine Chew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164030243
PECOS PAC ID: 7618374588
Enrollment ID: I20210920000978
Provider NameRandi D Bragg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700420031
PECOS PAC ID: 8224420922
Enrollment ID: I20220107002080
Provider NameJames M Lindsey
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1770666489
PECOS PAC ID: 9133447154
Enrollment ID: I20220317001632
Provider NameHelen Bishara
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1992978860
PECOS PAC ID: 9234495896
Enrollment ID: I20220405001665
Provider NameYasir Al-obaidi
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1689102865
PECOS PAC ID: 5395018469
Enrollment ID: I20220405002530
Provider NameJerra Nichole Sharp-williams
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1770895914
PECOS PAC ID: 4688052079
Enrollment ID: I20220525001135
Provider NameLisa Achenbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851063911
PECOS PAC ID: 7214318500
Enrollment ID: I20220718002950
Provider NameMary Elmasry
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1477286193
PECOS PAC ID: 5496136590
Enrollment ID: I20220720003889
Provider NameLauren O Burke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659831709
PECOS PAC ID: 8022436088
Enrollment ID: I20220728002550
Provider NameAhmad Soliman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568015386
PECOS PAC ID: 6204219181
Enrollment ID: I20220810003655
Provider NameYamna Matin Afridi
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1649942152
PECOS PAC ID: 4284000969
Enrollment ID: I20221020002375
Provider NameYahya El-shinnawy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619914140
PECOS PAC ID: 4082635883
Enrollment ID: I20221026001877
Provider NameMonika Bhagat
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700136769
PECOS PAC ID: 2860864766
Enrollment ID: I20230201003286
Provider NameSu Choo Chang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538367321
PECOS PAC ID: 2769854611
Enrollment ID: I20230202001823
Provider NameDana C Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043974140
PECOS PAC ID: 5092171033
Enrollment ID: I20230518000345
Provider NameTina Marie Elliott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700418969
PECOS PAC ID: 4082072418
Enrollment ID: I20230616001857
Provider NameAustin L Simmons
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1013692789
PECOS PAC ID: 9830558345
Enrollment ID: I20230630001850
Provider NameBrenda Fay Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619650538
PECOS PAC ID: 1456715945
Enrollment ID: I20230918000874
Provider NameAaron Thomas Fisher
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1003684127
PECOS PAC ID: 6305289869
Enrollment ID: I20240212002811
Provider NameLindsay Kasey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043977010
PECOS PAC ID: 7214376821
Enrollment ID: I20240416001194
Provider NameErin Elizabeth Daniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699457325
PECOS PAC ID: 0446691703
Enrollment ID: I20240517000295

Reviews and Comments


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Phone: 317-869-0000    Fax: 317-869-0233
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Castleton General & Implant Dentistry Pc
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.