| Bcs Of Indiana, Llc | |
|
9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 | |
| (317) 805-3000 | |
| (888) 483-0118 |
| Full Name | Bcs Of Indiana, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9465 Counselors Row Ste 200, Indianapolis, Indiana |
| Authorized Official Name and Position | Dennis Padla (MEMBER) |
| Authorized Official Contact | 9163012020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcs Of Indiana, Llc 39465 W 14 Mile Rd Novi MI 48377-1600 Ph: (248) 859-3900 | Bcs Of Indiana, Llc 9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 Ph: (317) 805-3000 |
| NPI Number | 1841945755 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 3870970957 |
|---|---|
| Medicare Enrollment ID | O20220510002676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841945755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Amber N Gullion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013230911 PECOS PAC ID: 4880727353 Enrollment ID: I20100804000556 |
| Provider Name | Debra J Troyer Buck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831135607 PECOS PAC ID: 5698890622 Enrollment ID: I20100915000132 |
| Provider Name | Jennifer Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346586112 PECOS PAC ID: 1951530542 Enrollment ID: I20140130001147 |
| Provider Name | Dennis Peter Padla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295728921 PECOS PAC ID: 7517858046 Enrollment ID: I20140612000326 |
| Provider Name | Jessica Anne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770167280 PECOS PAC ID: 8022417823 Enrollment ID: I20210527002009 |
| Provider Name | Ashlee R Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811682 PECOS PAC ID: 4183043755 Enrollment ID: I20211012002358 |
| Provider Name | Richard Lee Vaughn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801843818 PECOS PAC ID: 7719998012 Enrollment ID: I20231114002310 |
| Provider Name | Chloe Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033633367 PECOS PAC ID: 0547702102 Enrollment ID: I20240611001318 |
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