Dr Jared Christopher Basham, MD | |
9015 E 17th St, Indianapolis, IN 46229-2016 | |
(317) 355-7700 | |
(317) 355-9027 |
Full Name | Dr Jared Christopher Basham |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 9015 E 17th St, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316907009 | NPI | - | NPPES |
200826660 | Medicaid | IN | |
7372817 | Other | IN | AETNA PIN # |
000000485636 | Other | IN | ANTHEM PIN # |
P00458712 | Other | IN | MEDICARE RAILROAD # |
P01014119 | Other | IN | RR MEDICARE PTAN |
200311740A | Other | IN | MEDICAID GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01060886A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suburban Home Health Llc | Noblesville, IN | Home health agency |
Community Health At Home Llc | Fishers, IN | Home health agency |
Community Hospital East | Indianapolis, IN | Hospital |
Community Hospital North | Indianapolis, IN | Hospital |
Community Hospital South, Inc. | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Physicians Of Indiana Inc | 1759416662 | 1292 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Dr Jared Christopher Basham, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: (317) 355-6780 | Dr Jared Christopher Basham, MD 9015 E 17th St, Indianapolis, IN 46229-2016 Ph: (317) 355-7700 |
Leigha Marie Murphy, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256 Phone: 317-735-6001 Fax: 855-450-1177 | |
Donald H Lauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227 Phone: 317-881-9797 Fax: 317-881-4156 | |
Robert Kiess Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9560 E 59th St, Indianapolis, IN 46216 Phone: 317-621-1700 Fax: 317-621-1711 | |
Dr. Bernard M Herbst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5839 E Washington St, Indianapolis, IN 46219 Phone: 317-353-9777 Fax: 317-357-6922 | |
Teresa Trierweiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254 Phone: 317-293-4113 Fax: 317-290-2542 | |
Dr. Phumeza Msikinya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227 Phone: 317-497-1900 | |
Ruben Hernan Hernandez Mondragon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-962-8893 Fax: 317-962-2990 |