| Axon Health Associates, Llc | |
|
9245 N Meridian St Ste 300 Indianapolis IN 46260-1832 | |
| (317) 818-9000 | |
| (317) 818-9009 |
| Full Name | Axon Health Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9245 N Meridian St Ste 300, Indianapolis, Indiana |
| Authorized Official Name and Position | Jerad Michael Dalton (MEMBER) |
| Authorized Official Contact | 3178189000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axon Health Associates, Llc 9245 N Meridian St Ste 300 Indianapolis IN 46260-1832 Ph: (317) 818-9000 | Axon Health Associates, Llc 9245 N Meridian St Ste 300 Indianapolis IN 46260-1832 Ph: (317) 818-9000 |
| NPI Number | 1033552310 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Medicare PECOS PAC ID | 8729490628 |
|---|---|
| Medicare Enrollment ID | O20201217002696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033552310 | NPI | - | NPPES |
| Provider Name | Jerad M Dalton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306835418 PECOS PAC ID: 2163452434 Enrollment ID: I20050816000932 |
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