Jordan Phelps, | |
8890 E 116th St Ste 300, Fishers, IN 46038-2857 | |
(314) 621-1500 | |
(317) 621-1509 |
Full Name | Jordan Phelps |
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Gender | Male |
Speciality | Family Medicine |
Location | 8890 E 116th St Ste 300, Fishers, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871118836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02007002A (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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Jordan Phelps, 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Jordan Phelps, 8890 E 116th St Ste 300, Fishers, IN 46038-2857 Ph: (314) 621-1500 |
Darcy L Henson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13121 Olio Road, Suite 300, Fishers, IN 46037 Phone: 317-621-1300 Fax: 317-621-1310 | |
Mrs. Daniela Gueorguieva Djodjeva, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12574 Promise Creek Ln Ste 110, Fishers, IN 46038 Phone: 317-900-1206 Fax: 317-773-0844 | |
Kristen L. Blume, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10995 Allisonville Rd, Suite 100, Fishers, IN 46038 Phone: 317-842-7928 Fax: 317-841-3337 | |
Robert Andrew Zukas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11846 Lakeside Dr, Fishers, IN 46038 Phone: 317-621-4830 Fax: 317-621-4831 | |
Todd R Fogelsong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13121 Olio Rd, Suite 300, Fishers, IN 46037 Phone: 317-621-1300 | |
Stephan M Zentner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9795 E 116th St, Fishers, IN 46037 Phone: 317-913-8100 | |
Carrie A Melloh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St, Suite 300, Fishers, IN 46038 Phone: 317-621-1500 Fax: 317-621-1509 |