Brent Edward Mezger, FNP-C | |
1175 S College Mall Rd, Bloomington, IN 47401-6177 | |
(812) 323-4301 | |
Not Available |
Full Name | Brent Edward Mezger |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1175 S College Mall Rd, Bloomington, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245744598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71007721A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.021975 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Little Clinic Of In Llc | 7719118447 | 73 |
Entity Name | Little Clinic Of In Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558791384 PECOS PAC ID: 7719118447 Enrollment ID: O20140324000324 |
Entity Name | Fc Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
Mailing Address | Practice Location Address |
---|---|
Brent Edward Mezger, FNP-C 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: (937) 369-8865 | Brent Edward Mezger, FNP-C 1175 S College Mall Rd, Bloomington, IN 47401-6177 Ph: (812) 323-4301 |
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