Gregory Pearson Wynne, DO | |
9669 E 146th St Ste 330, Noblesville, IN 46060-5006 | |
(317) 355-2663 | |
Not Available |
Full Name | Gregory Pearson Wynne |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 9669 E 146th St Ste 330, Noblesville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558725937 | NPI | - | NPPES |
Q00387672 | Other | IN | RAILROAD MEDICARE |
266180L93 | Other | MEDICARE | |
300065787 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 02006722A (Indiana) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 02006722A (Indiana) | Primary |
Entity Name | Community Physicians Of Indiana Inc |
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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 |
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Gregory Pearson Wynne, DO 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-1647 | Gregory Pearson Wynne, DO 9669 E 146th St Ste 330, Noblesville, IN 46060-5006 Ph: (317) 355-2663 |
Andrew S Malin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 Westfield Rd Ste C, Noblesville, IN 46060 Phone: 317-770-3777 Fax: 317-770-1727 | |
Peter Hogg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14065 Borgwarner Dr, Noblesville, IN 46060 Phone: 317-620-0232 |