| Amanda Dudley, APRN | |
|
2001 W 86th St, Indianapolis, IN 46260-1902 | |
| (317) 338-2345 | |
| Not Available |
| Full Name | Amanda Dudley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 2001 W 86th St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023764081 | NPI | - | NPPES |
| 71015825A | Other | IN | INDIANA BON |
| 25977 | Other | SC | SOUTH CAROLINA BON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 215127 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71015825A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Carolina Internal Medicine Associates And Rehabilitation,l.l.c. | 1759362072 | 25 |
| Entity Name | South Carolina Internal Medicine Associates And Rehabilitation,l.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760483382 PECOS PAC ID: 1759362072 Enrollment ID: O20040525000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Dudley, APRN 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-2345 | Amanda Dudley, APRN 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-2345 |
Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516 | |
Tia Imhoff Mcgee, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-312-2204 | |
Kathleen L Lampert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227 Phone: 317-497-2300 | |
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1545 N Meridian St, Indianapolis, IN 46202 Phone: 317-923-1491 | |
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806 | |
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100 | |
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617 |