Brannan Danielle Malicoat, MSN, APRN, FNP-C | |
1111 Ronald Reagan Pkwy Ste 1100, Avon, IN 46123-7085 | |
(317) 944-7874 | |
(317) 968-1067 |
Full Name | Brannan Danielle Malicoat |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1111 Ronald Reagan Pkwy Ste 1100, Avon, 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 |
---|---|---|---|
1851863252 | NPI | - | NPPES |
300040824 | Medicaid | IN | |
233690179 | Other | IN | MEDICARE PTAN |
677730052 | Other | IN | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71008706A (Indiana) | Primary |
363LF0000X | Nurse Practitioner - Family | F10181240 (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Iu Health West Hospital | Avon, IN | Hospital |
Indiana University Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology Of Indiana Llc | 7517870009 | 66 |
University Surgeons Inc | 9436171949 | 105 |
Entity Name | Urology Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487680518 PECOS PAC ID: 7517870009 Enrollment ID: O20031111000154 |
Entity Name | University Surgeons Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316966229 PECOS PAC ID: 9436171949 Enrollment ID: O20051228000112 |
Mailing Address | Practice Location Address |
---|---|
Brannan Danielle Malicoat, MSN, APRN, FNP-C 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Brannan Danielle Malicoat, MSN, APRN, FNP-C 1111 Ronald Reagan Pkwy Ste 1100, Avon, IN 46123-7085 Ph: (317) 944-7874 |
Christi Lynn Crimmins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7975 E Us Highway 36, Avon, IN 46123 Phone: 317-355-9250 Fax: 317-806-1133 | |
Megan Burton, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 | |
Melissa Grimes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8607 E Us Highway 36 Ste 300, Avon, IN 46123 Phone: 317-718-7960 | |
Jill Suzanne Dana, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906 | |
Victoria Neuses, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 317-742-1340 Fax: 317-203-1066 | |
Sara Diann Ridlen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7990 E Us Highway 36, Avon, IN 46123 Phone: 866-389-2727 | |
Brittany Renee Montgomery, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906 |