Mariah Beadles, is a
Physician Assistant based in Boonville, Indiana. Mariah Beadles is licensed to practice in Indiana (license number 10004581A) and her current practice location is
1116 Millis Ave, Boonville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 897-7404.
NPI number for Mariah Beadles is 1134968126 and her current mailing address is 1116 Millis Ave, Boonville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134968126.
Provider's Profile
| Full Name | Mariah Beadles |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1116 Millis Ave, Boonville, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134968126
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 10/17/2024
Medical Identifiers
Medical identifiers for Mariah Beadles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134968126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 10004581A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariah Beadles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mariah Beadles,
1116 Millis Ave,
Boonville, IN 47601-2204
Ph: () - | Mariah Beadles,
1116 Millis Ave,
Boonville, IN 47601-2204
Ph: (812) 897-7404 |
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