Pallavi Reddy Muddasani Bhasyam, FNP | |
299 E Pendleton Ave # 547, Lapel, IN 46051-5546 | |
(765) 534-3636 | |
(765) 534-3638 |
Full Name | Pallavi Reddy Muddasani Bhasyam |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 299 E Pendleton Ave # 547, Lapel, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902503261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71013615A (Indiana) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | 28254959A (Indiana) | Secondary |
Entity Name | Wright Family Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437573664 PECOS PAC ID: 5496988602 Enrollment ID: O20140423001737 |
Mailing Address | Practice Location Address |
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Pallavi Reddy Muddasani Bhasyam, FNP 12286 Whispering Breeze Dr, Fishers, IN 46037-4452 Ph: (765) 609-0506 | Pallavi Reddy Muddasani Bhasyam, FNP 299 E Pendleton Ave # 547, Lapel, IN 46051-5546 Ph: (765) 534-3636 |
Kelsey Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 N Main St, Lapel, IN 46051 Phone: 765-298-4480 | |
Ms. Megan R. Ralston, M.S., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 N Main St, Lapel, IN 46051 Phone: 765-298-4480 Fax: 765-534-3022 | |
Alison Zolcak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 N Main St, Lapel, IN 46051 Phone: 765-298-4480 | |
Ms. Katherine Veronica Callahan, RN, MSN, CNS, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 299 E Pendleton Ave # 547, Lapel, IN 46051 Phone: 765-534-3636 Fax: 765-534-3638 |