| Angela B Hackman, MD | |
|
1500 Albany St, Suite 807, Beech Grove, IN 46107-1555 | |
| (317) 783-8921 | |
| (317) 782-6916 |
| Full Name | Angela B Hackman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1500 Albany St, Beech Grove, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235366287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11014993A (Indiana) | Primary |
| Entity Name | Vintage Care Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376598763 PECOS PAC ID: 7810900115 Enrollment ID: O20060802000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela B Hackman, MD Po Box 664053, Indianapolis, IN 46266-4053 Ph: (317) 783-8921 | Angela B Hackman, MD 1500 Albany St, Suite 807, Beech Grove, IN 46107-1555 Ph: (317) 783-8921 |
Dr. Richard L Beardsley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 | |
Dr. Patrick J Enright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 | |
Dr. Paul E Driscoll, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 | |
Dr. Abhigyan Ratan Banka, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Churchman Ave Ste A, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 | |
Dr. Tanna D Albin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 |