| Accentus Health Llc | |
|
5128 E Stop 11 Rd Ste 34 Indianapolis IN 46237-6338 | |
| (317) 721-4169 | |
| Not Available |
| Full Name | Accentus Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5128 E Stop 11 Rd Ste 34, Indianapolis, Indiana |
| Authorized Official Name and Position | Jason Shake (CEO/OWNER) |
| Authorized Official Contact | 3174742150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accentus Health Llc 5128 E Stop 11 Rd Ste 34 Indianapolis IN 46237-6338 Ph: (317) 721-4169 | Accentus Health Llc 5128 E Stop 11 Rd Ste 34 Indianapolis IN 46237-6338 Ph: (317) 721-4169 |
| NPI Number | 1295464147 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Medicare PECOS PAC ID | 7012381155 |
|---|---|
| Medicare Enrollment ID | O20230313001975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295464147 | NPI | - | NPPES |
| Provider Name | Todd Mason Durell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972557312 PECOS PAC ID: 5991711129 Enrollment ID: I20060227000113 |
| Provider Name | Jerry Edward Sheward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518969369 PECOS PAC ID: 4587832951 Enrollment ID: I20110729000636 |
| Provider Name | Huma Hosain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225477409 PECOS PAC ID: 6103134523 Enrollment ID: I20191023003110 |
| Provider Name | Stacy Lynn Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245952530 PECOS PAC ID: 6305210451 Enrollment ID: I20230313002390 |
| Provider Name | Memphis Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720692494 PECOS PAC ID: 5799195657 Enrollment ID: I20230727001956 |
| Provider Name | Laura Braun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013599505 PECOS PAC ID: 9830534999 Enrollment ID: I20240228002087 |
| Provider Name | Arlene Marie Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912698549 PECOS PAC ID: 6305285875 Enrollment ID: I20240416004181 |
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