Britt Family Medicine | |
1801 Clifty Drive Madison IN 47250-1627 | |
(812) 265-6800 | |
(812) 265-1470 |
Full Name | Britt Family Medicine |
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Speciality | Clinic/Center |
Location | 1801 Clifty Drive, Madison, Indiana |
Authorized Official Name and Position | Walter Kevin Britt (OWNER) |
Authorized Official Contact | 8127015013 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Britt Family Medicine 1801 Clifty Drive Madison IN 47250-1627 Ph: (812) 265-6800 | Britt Family Medicine 1801 Clifty Drive Madison IN 47250-1627 Ph: (812) 265-6800 |
NPI Number | 1104071836 |
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Provider Enumeration Date | 11/21/2008 |
Last Update Date | 09/25/2014 |
Medicare PECOS PAC ID | 9638233851 |
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Medicare Enrollment ID | O20090202000549 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104071836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 01050103A (Indiana) | Primary |
Provider Name | Walter K Britt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326078841 PECOS PAC ID: 7911061130 Enrollment ID: I20090202000540 |
Provider Name | Tina Goodin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255863171 PECOS PAC ID: 4789951567 Enrollment ID: I20170526000923 |
Provider Name | Joshua Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245757475 PECOS PAC ID: 5496012098 Enrollment ID: I20171207001194 |
Provider Name | Brandy J Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992203079 PECOS PAC ID: 4082960646 Enrollment ID: I20180712000234 |
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