| Smartt Neurology Pc | |
|
9640 N Augusta Dr Suite 412 Carmel IN 46032-9600 | |
| (317) 872-4545 | |
| (317) 872-3959 |
| Full Name | Smartt Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9640 N Augusta Dr, Carmel, Indiana |
| Authorized Official Name and Position | Jerry W Smartt (PRESIDENT) |
| Authorized Official Contact | 3178724545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smartt Neurology Pc 9640 N Augusta Dr Suite 412 Carmel IN 46032-9600 Ph: (317) 872-4545 | Smartt Neurology Pc 9640 N Augusta Dr Suite 412 Carmel IN 46032-9600 Ph: (317) 872-4545 |
| NPI Number | 1053505826 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 9931165826 |
|---|---|
| Medicare Enrollment ID | O20071017000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053505826 | NPI | - | NPPES |
| 000000362840 | Other | IN | ANTHEM BLUE SHIELD |
| 200504240A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jerry W Smartt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306850722 PECOS PAC ID: 4284690173 Enrollment ID: I20041206000762 |
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