| Be Well Family Care, Llc | |
|
12430 Clark St Carmel IN 46032-7645 | |
| (317) 938-4559 | |
| (317) 343-0336 |
| Full Name | Be Well Family Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12430 Clark St, Carmel, Indiana |
| Authorized Official Name and Position | Swathi Rao (OWNER) |
| Authorized Official Contact | 3179384559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Family Care, Llc 12430 Clark St Carmel IN 46032-7645 Ph: (317) 938-4559 | Be Well Family Care, Llc 12430 Clark St Carmel IN 46032-7645 Ph: (317) 938-4559 |
| NPI Number | 1689110413 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/04/2023 |
| Medicare PECOS PAC ID | 1658642228 |
|---|---|
| Medicare Enrollment ID | O20170801002360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689110413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela A De Bord Henriksen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750321576 PECOS PAC ID: 7315904604 Enrollment ID: I20041218000007 |
| Provider Name | Ilana Armoni Hurrle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437118866 PECOS PAC ID: 4284791013 Enrollment ID: I20090324000189 |
| Provider Name | Emily Jo Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407239569 PECOS PAC ID: 9436464542 Enrollment ID: I20150819007400 |
| Provider Name | Amy Goodpaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518639640 PECOS PAC ID: 3173912813 Enrollment ID: I20211117003053 |
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