Advanced Healthcare Associates Llp | |
2300 Parkview Ln Elwood IN 46036-1378 | |
(844) 474-4019 | |
Not Available |
Full Name | Advanced Healthcare Associates Llp |
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Speciality | Internal Medicine |
Location | 2300 Parkview Ln, Elwood, Indiana |
Authorized Official Name and Position | Kairee Hargett (ASST MANAGER, PROVIDER ENROLLMENT) |
Authorized Official Contact | 7752220042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Healthcare Associates Llp 12420 Milestone Center Dr Ste 200 Germantown MD 20876-7111 Ph: (240) 686-2300 | Advanced Healthcare Associates Llp 2300 Parkview Ln Elwood IN 46036-1378 Ph: (844) 474-4019 |
NPI Number | 1841225091 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 02/24/2023 |
Medicare PECOS PAC ID | 0244219848 |
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Medicare Enrollment ID | O20040716000962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841225091 | NPI | - | NPPES |
7100225520 | Medicaid | KY | |
DR2810 | Other | KY | RR MEDICARE PIN |
100460560A | Medicaid | IN | |
7100226770 | Medicaid | KY | |
CI1868 | Other | IN | RR MEDICARE PIN |
Provider Name | Leo M Solito |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780625731 PECOS PAC ID: 0143263798 Enrollment ID: I20050606000521 |
Provider Name | Stephen A Rappaport |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1124248935 PECOS PAC ID: 3476568411 Enrollment ID: I20060213000804 |
Provider Name | Timothy P Walbridge |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386609071 PECOS PAC ID: 6204832751 Enrollment ID: I20080402000104 |
Provider Name | Bryon W Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184615999 PECOS PAC ID: 5991831091 Enrollment ID: I20100329000186 |
Provider Name | Patrice Yates |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245229327 PECOS PAC ID: 3173659885 Enrollment ID: I20100406000535 |
Provider Name | Bridget A Witsken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083915581 PECOS PAC ID: 8628250370 Enrollment ID: I20110316000902 |
Provider Name | Kristin A Teter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437140381 PECOS PAC ID: 6901063932 Enrollment ID: I20120202000857 |
Provider Name | Jennifer C Maki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578802112 PECOS PAC ID: 7012154875 Enrollment ID: I20130515000104 |
Provider Name | Catherine L Patrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356787352 PECOS PAC ID: 4789811555 Enrollment ID: I20131227000051 |
Provider Name | Chijioke Kalu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326012162 PECOS PAC ID: 6103070859 Enrollment ID: I20150611001273 |
Provider Name | Sydney Jane Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144614710 PECOS PAC ID: 3577874387 Enrollment ID: I20150622000101 |
Provider Name | Thomas E Puckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346626876 PECOS PAC ID: 0143535252 Enrollment ID: I20150819007161 |
Provider Name | Monica Broo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609262294 PECOS PAC ID: 0941593586 Enrollment ID: I20160720000877 |
Provider Name | Kelli Joy Bovenkerk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285184481 PECOS PAC ID: 9739477399 Enrollment ID: I20161013001962 |
Provider Name | Erin O'donnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427594142 PECOS PAC ID: 6002198090 Enrollment ID: I20170127000704 |
Provider Name | Kensie Lynn Waller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730635681 PECOS PAC ID: 2466737796 Enrollment ID: I20170328002092 |
Provider Name | Ashley Nicole Asher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396273967 PECOS PAC ID: 1355610650 Enrollment ID: I20170629001800 |
Provider Name | Abigail G Boris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114464575 PECOS PAC ID: 7810257177 Enrollment ID: I20180205002360 |
Provider Name | Erin Tofani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548776925 PECOS PAC ID: 8527328541 Enrollment ID: I20180212001089 |
Provider Name | Anna M Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790261204 PECOS PAC ID: 2769732411 Enrollment ID: I20180830001658 |
Provider Name | Annabel Marrufo Lackey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275186892 PECOS PAC ID: 3072941061 Enrollment ID: I20200325003411 |
Provider Name | Tatum Svarczkopf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295326858 PECOS PAC ID: 8729492913 Enrollment ID: I20210129000923 |
Provider Name | Jennifer A Holcomb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700561495 PECOS PAC ID: 0446619274 Enrollment ID: I20230711002297 |
Provider Name | Saadia Shahnawaz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255771507 PECOS PAC ID: 2567741739 Enrollment ID: I20230927002455 |
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