Amanda Melissa Gripe, MD | |
1111 Ronald Reagan Pkwy, B1100, Avon, IN 46123-7085 | |
(317) 962-8067 | |
(317) 962-3796 |
Full Name | Amanda Melissa Gripe |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1111 Ronald Reagan Pkwy, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104028836 | NPI | - | NPPES |
200925250 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01065106A (Indiana) | Primary |
Entity Name | University Pediatric Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 |
Mailing Address | Practice Location Address |
---|---|
Amanda Melissa Gripe, MD Po Box 1026, Indianapolis, IN 46206-1026 Ph: (317) 274-1201 | Amanda Melissa Gripe, MD 1111 Ronald Reagan Pkwy, B1100, Avon, IN 46123-7085 Ph: (317) 962-8067 |
Ruth M Mccluskey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8244 E Us Highway 36, Suite 210, Avon, IN 46123 Phone: 317-272-7337 Fax: 317-272-8534 | |
Dr. Drew A Kepple, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 Phone: 317-948-3200 Fax: 317-217-2424 | |
Kerry Lee Hensley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7376 Business Center Dr, Suite A, Avon, IN 46123 Phone: 317-272-7887 Fax: 317-272-7888 | |
Dr. Jeffrey R Ihlendorf, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1115 N Ronald Reagan Pkwy, Suite 141, Avon, IN 46123 Phone: 317-948-3200 Fax: 317-217-2424 | |
Jennifer K Botkin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8244 E Us Highway 36, Suite 210, Avon, IN 46123 Phone: 317-272-7337 Fax: 317-272-8534 | |
Callyn B. Riggs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Ronald Reagan Pkwy, B1100, Avon, IN 46123 Phone: 317-948-2700 Fax: 317-948-2959 |