Jenna Renee Sparks, LAT, ATC - Specialist/Technologist in Indianapolis, IN

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Jenna Renee Sparks, LAT, ATC is a Specialist/technologist - Athletic Trainer physician based in Indianapolis, Indiana. Jenna Renee Sparks is licensed to practice in Indiana (license number 36003333A) and her current practice location is 1801 N Senate Blvd Ste 400, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at (317) 944-9400.

NPI number for Jenna Renee Sparks is 1639782907 and her current mailing address is 6638 Cape Neddick Ct Apt J, Indianapolis, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639782907.

Contact Information

Jenna Renee Sparks, LAT, ATC
1801 N Senate Blvd Ste 400,
Indianapolis, IN 46202-1245
(317) 944-9400
(317) 963-3289

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Physician's Profile

Full NameJenna Renee Sparks
GenderFemale
SpecialitySpecialist/technologist - Athletic Trainer
Location1801 N Senate Blvd Ste 400, Indianapolis, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639782907
  • Provider Enumeration Date: 08/26/2020
  • Last Update Date: 01/06/2021

Medical Identifiers

Medical identifiers for Jenna Renee Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639782907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080S0010XPediatrics - Sports Medicine 36003333A (Indiana)Secondary
2083S0010XPreventive Medicine - Sports Medicine 36003333A (Indiana)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 36003333A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Renee Sparks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jenna Renee Sparks, LAT, ATC
6638 Cape Neddick Ct Apt J,
Indianapolis, IN 46217-8772

Ph: (812) 774-6752		Jenna Renee Sparks, LAT, ATC
1801 N Senate Blvd Ste 400,
Indianapolis, IN 46202-1245

Ph: (317) 944-9400

Reviews and Comments



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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.

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