Roadways To Recovery Inc., | |
2620 Industrial Park Drive Bedford IN 47421 | |
(812) 583-6540 | |
Not Available |
Full Name | Roadways To Recovery Inc., |
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Speciality | Clinic/Center |
Location | 2620 Industrial Park Drive, Bedford, Indiana |
Authorized Official Name and Position | Michael Coryea (OWNER) |
Authorized Official Contact | 8125836540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roadways To Recovery Inc., 211 Stevens Ln Mitchell IN 47446-6606 Ph: (812) 583-6540 | Roadways To Recovery Inc., 2620 Industrial Park Drive Bedford IN 47421 Ph: (812) 583-6540 |
NPI Number | 1740856483 |
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Provider Enumeration Date | 06/02/2021 |
Last Update Date | 02/29/2024 |
Certification Date | 02/29/2024 |
Medicare PECOS PAC ID | 0143613695 |
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Medicare Enrollment ID | O20220207000825 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740856483 | NPI | - | NPPES |
Provider Name | Vahid Osman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740264720 PECOS PAC ID: 2264409010 Enrollment ID: I20040913000512 |
Provider Name | Emily A Kramer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770506339 PECOS PAC ID: 0345304796 Enrollment ID: I20090129000204 |
Provider Name | Jayme Albin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760800320 PECOS PAC ID: 0446555692 Enrollment ID: I20160225000987 |
Provider Name | Melinda K Bruner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780138149 PECOS PAC ID: 7315233475 Enrollment ID: I20160915002175 |
Provider Name | Lindsay Lindsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558810366 PECOS PAC ID: 7214215151 Enrollment ID: I20161028000422 |
Provider Name | Michael Coryea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366985046 PECOS PAC ID: 3375828577 Enrollment ID: I20170331000273 |
Provider Name | Kimberly Hizer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528614047 PECOS PAC ID: 8022347822 Enrollment ID: I20190904000418 |
Provider Name | Amy Schafer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013566132 PECOS PAC ID: 5799016960 Enrollment ID: I20191021000486 |
Provider Name | Elijah Wilder |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083976971 PECOS PAC ID: 9133496193 Enrollment ID: I20201030001378 |
Provider Name | Christy Riddle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790918951 PECOS PAC ID: 7810393857 Enrollment ID: I20210831001228 |
Provider Name | Rinkoo Sidhu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497326649 PECOS PAC ID: 0143627018 Enrollment ID: I20210920001082 |
Provider Name | Carrie Lynne Helle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184988388 PECOS PAC ID: 6002138344 Enrollment ID: I20211201002127 |
Provider Name | Kristin Miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841578747 PECOS PAC ID: 5395162580 Enrollment ID: I20220719002978 |
Provider Name | Alex Qualkinbush |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215664016 PECOS PAC ID: 2668855867 Enrollment ID: I20220822001518 |
Provider Name | Kacey Dawn Poe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740904002 PECOS PAC ID: 6002282712 Enrollment ID: I20221021000302 |
Provider Name | William Andrew Garriott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780346692 PECOS PAC ID: 9638548340 Enrollment ID: I20221219001857 |
Provider Name | Aaron J Mangin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699494153 PECOS PAC ID: 6608245378 Enrollment ID: I20221220001733 |
Provider Name | Heather Depaul |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154032043 PECOS PAC ID: 6800266529 Enrollment ID: I20221221001064 |
Provider Name | Jessi Dean Todd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891420535 PECOS PAC ID: 1456723105 Enrollment ID: I20230207001998 |
Provider Name | Jessica Nicole Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609578269 PECOS PAC ID: 2466810502 Enrollment ID: I20230621002364 |
Provider Name | Monica Light |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295491512 PECOS PAC ID: 9436541752 Enrollment ID: I20230821003893 |
Provider Name | John Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942641014 PECOS PAC ID: 2264676675 Enrollment ID: I20231003001561 |
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