- Medicare Mental Health Clinic in Angola, IN

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is a medicare enrolled mental health clinic (Family Medicine) in Angola, Indiana. The current practice location for is 306 E Maumee St Ste 303, Angola, Indiana. For appointments, you can reach them via phone at (260) 667-5773. The mailing address for is 416 E Maumee St, Angola, Indiana and phone number is (260) 665-2141.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770521478. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (260) 667-5773.

Contact Information

306 E Maumee St Ste 303
Angola
IN 46703-2044
(260) 667-5773
(260) 667-5564

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityFamily Medicine
Location306 E Maumee St Ste 303, Angola, Indiana
Authorized Official Name and PositionAndrew Aldred (VP/COO)
Authorized Official Contact2606675330
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

416 E Maumee St
Angola
IN 46703-2015

Ph: (260) 665-2141
306 E Maumee St Ste 303
Angola
IN 46703-2044

Ph: (260) 667-5773

NPI Details:

NPI Number1770521478
Provider Enumeration Date06/03/2006
Last Update Date07/31/2024
Certification Date07/31/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9234020835
Medicare Enrollment IDO20040323001008

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770521478NPI-NPPES
000000100683OtherINBUE CROSS BLUE SHIELD
200244480AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJay D Fawver
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164457404
PECOS PAC ID: 5496701179
Enrollment ID: I20050328000391
Provider NameCarlene M Mcclurg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235164732
PECOS PAC ID: 0042266678
Enrollment ID: I20050328000424
Provider NameAkbar Khan Shinwari
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033145396
PECOS PAC ID: 3476537671
Enrollment ID: I20050909000969
Provider NameDevon Lewandowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659361533
PECOS PAC ID: 5294752135
Enrollment ID: I20051029000139
Provider NameBarbara Marie Brown
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1255317996
PECOS PAC ID: 9739103722
Enrollment ID: I20060117001005
Provider NameSusan M Frayer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598757684
PECOS PAC ID: 5092720391
Enrollment ID: I20060207001008
Provider NameKenneth A Jongsma
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1245283209
PECOS PAC ID: 8426061557
Enrollment ID: I20060713000138
Provider NameBrandon Russell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588603708
PECOS PAC ID: 6608844295
Enrollment ID: I20060801000243
Provider NameTodd D Brandon
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174594766
PECOS PAC ID: 0446251334
Enrollment ID: I20070228000125
Provider NameLynn V Faur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326047721
PECOS PAC ID: 2668578204
Enrollment ID: I20070427000549
Provider NameSung O Whang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1083612139
PECOS PAC ID: 7618065665
Enrollment ID: I20071108000736
Provider NameJessica L Ottenweller Butcher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629089453
PECOS PAC ID: 4688764780
Enrollment ID: I20071213000041
Provider NameTodd C Rumsey
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336139062
PECOS PAC ID: 0244220077
Enrollment ID: I20090317000286
Provider NameStefani M Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831189554
PECOS PAC ID: 5092872150
Enrollment ID: I20090318000087
Provider NameThomas L Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326048802
PECOS PAC ID: 5294804928
Enrollment ID: I20090403000276
Provider NameSanjiv G Aggarwal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1316917511
PECOS PAC ID: 0345397840
Enrollment ID: I20090421000394
Provider NameCharles L Maclean
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821036369
PECOS PAC ID: 9830248889
Enrollment ID: I20090521000237
Provider NameRichard A Stoldt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104863679
PECOS PAC ID: 4284767849
Enrollment ID: I20100803000355
Provider NameJeanette Deeanne Cochran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720305782
PECOS PAC ID: 7517090129
Enrollment ID: I20100803001100
Provider NameRobin D Moffitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790016301
PECOS PAC ID: 7416080783
Enrollment ID: I20100807000082
Provider NameDean L Mattox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801828546
PECOS PAC ID: 4082656764
Enrollment ID: I20100914001279
Provider NameChristy R Brown
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194973420
PECOS PAC ID: 8224192505
Enrollment ID: I20110110000021
Provider NameBarbara A Matchette
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144350299
PECOS PAC ID: 8921279936
Enrollment ID: I20110923000365
Provider NameLaura M Folds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306129283
PECOS PAC ID: 5496920936
Enrollment ID: I20111212000133
Provider NameMotaz M Shaher
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1427058825
PECOS PAC ID: 1456333137
Enrollment ID: I20120213000744
Provider NameDonna M Lorntz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144589409
PECOS PAC ID: 7315194297
Enrollment ID: I20120828000772
Provider NameBrandy M German
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457623928
PECOS PAC ID: 1355593195
Enrollment ID: I20121130000462
Provider NameDiane L Howe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770821530
PECOS PAC ID: 1850546862
Enrollment ID: I20130223000068
Provider NameJayne S Sloan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043650203
PECOS PAC ID: 5294960977
Enrollment ID: I20131105001498
Provider NameTaryn D Kaiser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740614247
PECOS PAC ID: 5799913323
Enrollment ID: I20140708001076
Provider NameNicole A Deller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114157641
PECOS PAC ID: 5193947141
Enrollment ID: I20141107000541
Provider NameTaylor Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699171975
PECOS PAC ID: 7416271523
Enrollment ID: I20150121000288
Provider NameKimberly Slattery
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255512687
PECOS PAC ID: 6305928037
Enrollment ID: I20150204001047
Provider NameMatthew Franz
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1295029965
PECOS PAC ID: 9830335769
Enrollment ID: I20150227000752
Provider NameMegan P Fillman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1902294689
PECOS PAC ID: 4183940547
Enrollment ID: I20150302000691
Provider NameKimberly S Van Elk
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1164714556
PECOS PAC ID: 0547406746
Enrollment ID: I20150602003023
Provider NameBrian Schmutzler
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063711745
PECOS PAC ID: 3274770078
Enrollment ID: I20150603002362
Provider NameTracy D Mangan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225413487
PECOS PAC ID: 0749594646
Enrollment ID: I20150806009801
Provider NameJeremiah L Ashe
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1144515396
PECOS PAC ID: 8123264108
Enrollment ID: I20151020000554
Provider NameAudra L Lehman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215301403
PECOS PAC ID: 2860795531
Enrollment ID: I20160129001803
Provider NamePatricia S Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316333867
PECOS PAC ID: 0941518195
Enrollment ID: I20160520001924
Provider NameJoey A Dehoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235587361
PECOS PAC ID: 7911292396
Enrollment ID: I20160824001401
Provider NameApril Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275980690
PECOS PAC ID: 2668769837
Enrollment ID: I20161003001550
Provider NameKarissa Kreider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821423393
PECOS PAC ID: 0042592289
Enrollment ID: I20170123001900
Provider NameBenjamin Heinrich Riebesel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801338769
PECOS PAC ID: 1658653472
Enrollment ID: I20170131000598
Provider NameMarianne C Stroud
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1225442189
PECOS PAC ID: 5294010724
Enrollment ID: I20170324002055
Provider NameMargaret J Schreiber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760537658
PECOS PAC ID: 9234497702
Enrollment ID: I20171212000167
Provider NameKevin R Hamilton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922078773
PECOS PAC ID: 4284532011
Enrollment ID: I20180220002867
Provider NameMelissa L Boyles
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235176645
PECOS PAC ID: 6800873415
Enrollment ID: I20180410003064
Provider NameChrishawna D Schieber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255827374
PECOS PAC ID: 4587913868
Enrollment ID: I20180820002548
Provider NameJoshua T Korte
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1679816128
PECOS PAC ID: 9638311145
Enrollment ID: I20180828003721
Provider NameAnne E Reitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376715185
PECOS PAC ID: 8022293596
Enrollment ID: I20180830003734
Provider NameJohn A Varner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770578338
PECOS PAC ID: 2567409683
Enrollment ID: I20181025002982
Provider NameMelchor Mercado
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750374104
PECOS PAC ID: 4486604329
Enrollment ID: I20190506001222
Provider NameNelson Moy
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1891951406
PECOS PAC ID: 2567682560
Enrollment ID: I20190514000787
Provider NameSimon Peter Crass
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1336450766
PECOS PAC ID: 9830484112
Enrollment ID: I20190517001454
Provider NameMichael R Rosen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639419971
PECOS PAC ID: 8426309386
Enrollment ID: I20190823003179
Provider NameBronson Taylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508423039
PECOS PAC ID: 9537499538
Enrollment ID: I20190917003668
Provider NameSteven A Foley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194700179
PECOS PAC ID: 8224932090
Enrollment ID: I20191115000344
Provider NameZachary T Renew
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285262329
PECOS PAC ID: 6709208937
Enrollment ID: I20200617001043
Provider NameCheryl Kristine Groth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609408004
PECOS PAC ID: 6507280286
Enrollment ID: I20200728002501
Provider NameJoseph Egbert
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932726452
PECOS PAC ID: 9234557109
Enrollment ID: I20200910000372
Provider NameJustin B Heyrend
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316555246
PECOS PAC ID: 1759700644
Enrollment ID: I20200925001573
Provider NameJosiah Wesley Reish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265047138
PECOS PAC ID: 5698195766
Enrollment ID: I20201012002814
Provider NameGabriela North
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235743725
PECOS PAC ID: 3476966524
Enrollment ID: I20210108001530
Provider NameGina Flores
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285238766
PECOS PAC ID: 1254745987
Enrollment ID: I20210120002880
Provider NameCamila Hurtado
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700471927
PECOS PAC ID: 9234538521
Enrollment ID: I20210518001701
Provider NameChristopher J Gasaway
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134613516
PECOS PAC ID: 4486901048
Enrollment ID: I20210720001383
Provider NameJessica L Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942968565
PECOS PAC ID: 9436549276
Enrollment ID: I20211209000981
Provider NameTrisha D Brown
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1124781943
PECOS PAC ID: 2466844923
Enrollment ID: I20220113002502
Provider NameKelly Bireley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023775707
PECOS PAC ID: 1850787946
Enrollment ID: I20220329000829
Provider NameMatthew Sieloff
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1902369952
PECOS PAC ID: 0749515278
Enrollment ID: I20220927000539
Provider NameAndrew Weatherington
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346978319
PECOS PAC ID: 3779969639
Enrollment ID: I20220929001173
Provider NameCorey Christopher Marchant
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1598226078
PECOS PAC ID: 2062747744
Enrollment ID: I20230707003057
Provider NameSherry Jean Handshoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902586829
PECOS PAC ID: 9032571583
Enrollment ID: I20230815002406
Provider NameManasa Musunuri
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487929816
PECOS PAC ID: 7113147745
Enrollment ID: I20230823000402
Provider NamePrecious Hogo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700566296
PECOS PAC ID: 4688037484
Enrollment ID: I20230828000445
Provider NameTricia Bowerman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447608567
PECOS PAC ID: 7719338540
Enrollment ID: I20240105002770
Provider NameSarah Finch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407125198
PECOS PAC ID: 8022275361
Enrollment ID: I20240503001910
Provider NameElizabeth Kaylor Blanton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740867498
PECOS PAC ID: 3375942014
Enrollment ID: I20240830003403
Provider NameMerandah Marie Tokarz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932886728
PECOS PAC ID: 7517408669
Enrollment ID: I20240917003138
Provider NamePreston King
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871160580
PECOS PAC ID: 6800286097
Enrollment ID: I20241008000158
Provider NameChristopher Kelley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134440001
PECOS PAC ID: 5698998367
Enrollment ID: I20241028001260
Provider NameRyan Gee
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417547670
PECOS PAC ID: 8123435666
Enrollment ID: I20241029003540

Reviews and Comments

Family Medicine in Angola, IN

Kc Learning Center, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1605 S Wayne St, Angola, IN 46703
Phone: 260-243-6840    
Pathway To Clarity, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 408 N Wayne St, Num 143, Angola, IN 46703
Phone: 260-316-0979    
Clarion Call Counseling And Consulting, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 155 S Public Sq, Angola, IN 46703
Phone: 260-665-2972    Fax: 260-665-3026
The Sante' Group, Inc.
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 603 N Wayne St, Angola, IN 46703
Phone: 260-668-8797    Fax: 260-665-1620

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.