| Maoac, Llc | |
|
8856 South St Fishers IN 46038-2911 | |
| (317) 516-1177 | |
| (317) 516-5128 |
| Full Name | Maoac, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 8856 South St, Fishers, Indiana |
| Authorized Official Name and Position | Cassy Bratcher (OFFICE MANAGER) |
| Authorized Official Contact | 3172136762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maoac, Llc 8856 South St Fishers IN 46038-2911 Ph: (317) 516-1177 | Maoac, Llc 8856 South St Fishers IN 46038-2911 Ph: (317) 516-1177 |
| NPI Number | 1730663923 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730663923 | NPI | - | NPPES |
| 1427027283 | Medicaid | IN | |
| 1821290743 | Medicaid | IN | |
| 1760892749 | Medicaid | IN | |
| 1891162764 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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