| Informe Healthcare Specialists, Llc | |
|
745 N Swope St Greenfield IN 46140-1332 | |
| (317) 462-9221 | |
| (888) 724-0875 |
| Full Name | Informe Healthcare Specialists, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 745 N Swope St, Greenfield, Indiana |
| Authorized Official Name and Position | Jodi Czernejeski (CEO) |
| Authorized Official Contact | 4142425468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Informe Healthcare Specialists, Llc 2741 W Layton Ave Ste 106 Milwaukee WI 53221-2600 Ph: (414) 242-5468 | Informe Healthcare Specialists, Llc 745 N Swope St Greenfield IN 46140-1332 Ph: (317) 462-9221 |
| NPI Number | 1467051730 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Medicare PECOS PAC ID | 3870905128 |
|---|---|
| Medicare Enrollment ID | O20201210002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467051730 | NPI | - | NPPES |
| Provider Name | Harsha N Shanthaveerappa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093795858 PECOS PAC ID: 5698847853 Enrollment ID: I20080702000573 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588949465 PECOS PAC ID: 8022267277 Enrollment ID: I20121003000105 |
| Provider Name | Rebecca Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720338023 PECOS PAC ID: 9133370976 Enrollment ID: I20121105000058 |
| Provider Name | Bethany White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306395264 PECOS PAC ID: 1557642642 Enrollment ID: I20170104000383 |
| Provider Name | Raul Vasquez Garagatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518283522 PECOS PAC ID: 7719133412 Enrollment ID: I20171028000208 |
| Provider Name | Hairline Sylvestre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215519186 PECOS PAC ID: 7517369606 Enrollment ID: I20210712004214 |
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