Carrie Bonsack, | |
1522 W Morris St, Indianapolis, IN 46221-1629 | |
(317) 488-2020 | |
(317) 488-2031 |
Full Name | Carrie Bonsack |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1522 W Morris St, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164477188 | NPI | - | NPPES |
200809090 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 72000106 (Indiana) | Primary |
Entity Name | Open Door Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770510240 PECOS PAC ID: 5890696603 Enrollment ID: O20040115000592 |
Mailing Address | Practice Location Address |
---|---|
Carrie Bonsack, 3401 E Raymond St, Indianapolis, IN 46203-4744 Ph: (317) 788-9769 | Carrie Bonsack, 1522 W Morris St, Indianapolis, IN 46221-1629 Ph: (317) 488-2020 |
Christina Louise Graham, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1633 N Capitol Ave, Suite 500, Indianapolis, IN 46202 Phone: 317-962-5014 Fax: 317-962-2427 | |
Darla Jo Berry, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 7120 Clearvista Dr Ste 5100, Indianapolis, IN 46256 Phone: 317-621-7120 | |
Mrs. Kate E Meyer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8609 | |
Ms. Joann Fluent-peistrup, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1633 N Capitol Ave Ste 500, Indianapolis, IN 46202 Phone: 317-742-2928 | |
Mrs. Carla Gayle Cleary, CNM MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 8121 Center Run Dr, Indianapolis, IN 46250 Phone: 317-849-9304 Fax: 317-841-0523 | |
Virginia Helen Maher, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-9980 |