Jane B Parker, CRNA | |
9002 N Meridian St, Indianapolis, IN 46260-5381 | |
(574) 268-9640 | |
Not Available |
Full Name | Jane B Parker |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9002 N Meridian 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 |
---|---|---|---|
1134227481 | NPI | - | NPPES |
200495950 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28083465 (Indiana) | Primary |
Entity Name | I Care Center Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1174615702 PECOS PAC ID: 1557348513 Enrollment ID: O20040707000835 |
Entity Name | Premier Anesthesia Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043276553 PECOS PAC ID: 2062498140 Enrollment ID: O20041026000155 |
Mailing Address | Practice Location Address |
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Jane B Parker, CRNA 6 Hawthorne Ct, Batesville, IN 47006-9215 Ph: (812) 933-0116 | Jane B Parker, CRNA 9002 N Meridian St, Indianapolis, IN 46260-5381 Ph: (574) 268-9640 |
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