Bedford Transitions, Llc | |
1212 I St Ste 2 Bedford IN 47421-2955 | |
(812) 675-0902 | |
Not Available |
Full Name | Bedford Transitions, Llc |
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Speciality | General Practice |
Location | 1212 I St Ste 2, Bedford, Indiana |
Authorized Official Name and Position | Deanna Ford (CO-OWNER) |
Authorized Official Contact | 8126750902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bedford Transitions, Llc 1127 Bartlettsville Rd Bedford IN 47421-7953 Ph: () - | Bedford Transitions, Llc 1212 I St Ste 2 Bedford IN 47421-2955 Ph: (812) 675-0902 |
NPI Number | 1790297216 |
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Provider Enumeration Date | 10/25/2017 |
Last Update Date | 10/25/2017 |
Medicare PECOS PAC ID | 8921361767 |
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Medicare Enrollment ID | O20180410000481 |
Identifier | Type | State | Issuer |
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1790297216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Art O Obaseki |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871661546 PECOS PAC ID: 2062581788 Enrollment ID: I20080521000626 |
Provider Name | Susan L Burk |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518939784 PECOS PAC ID: 7012073521 Enrollment ID: I20090309000448 |
Provider Name | Pamela Fay Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588840052 PECOS PAC ID: 4486703741 Enrollment ID: I20090518000225 |
Provider Name | Elmo A Griggs |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1235209156 PECOS PAC ID: 6800140039 Enrollment ID: I20181107000322 |
Provider Name | Rhonda J Mckinney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558831461 PECOS PAC ID: 9638419971 Enrollment ID: I20190322000774 |
Provider Name | Kortney N Curtis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851905970 PECOS PAC ID: 7810392339 Enrollment ID: I20210823000490 |
Provider Name | Olivia D Garrett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023781929 PECOS PAC ID: 5698171338 Enrollment ID: I20210907000200 |
Provider Name | Tessa L Ray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336815794 PECOS PAC ID: 7618374570 Enrollment ID: I20210921000920 |
Provider Name | Mandy M Voorhies |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841862851 PECOS PAC ID: 5698169597 Enrollment ID: I20220217002813 |
Provider Name | Pamela Jane Gutierrez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912661968 PECOS PAC ID: 9638564917 Enrollment ID: I20220323002340 |
Provider Name | Rebecca J Darlage |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1285353227 PECOS PAC ID: 4486039724 Enrollment ID: I20220922001190 |
Provider Name | Beth Ann Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295458073 PECOS PAC ID: 4789052713 Enrollment ID: I20221123001722 |
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