- Medicare Primary Care in Indianapolis, IN

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is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Indianapolis, Indiana. The current practice location for is 7430 N Shadeland Ave Ste 230, Indianapolis, Indiana. For appointments, you can reach them via phone at (317) 991-5710. The mailing address for is 7430 N Shadeland Ave Ste 230, Indianapolis, Indiana and phone number is (317) 991-5710.

is licensed to practice in Indiana (license number 08001559A). The clinic also participates in the medicare program and its NPI number is 1851740302. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (317) 991-5710.

Contact Information

7430 N Shadeland Ave Ste 230
Indianapolis
IN 46250-2036
(317) 991-5710
(317) 755-1807

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location7430 N Shadeland Ave Ste 230, Indianapolis, Indiana
Authorized Official Name and PositionTerry Joe Tolle (MANAGING EMPLOYEE)
Authorized Official Contact3174421515
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

7430 N Shadeland Ave Ste 230
Indianapolis
IN 46250-2036

Ph: (317) 991-5710
7430 N Shadeland Ave Ste 230
Indianapolis
IN 46250-2036

Ph: (317) 991-5710

NPI Details:

NPI Number1851740302
Provider Enumeration Date06/06/2016
Last Update Date11/17/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2062848567
Medicare Enrollment IDO20200131001063

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851740302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty 08001559A (Indiana)Primary
363LX0106XNurse Practitioner - Occupational Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJerry Ray Powell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619958378
PECOS PAC ID: 5698661775
Enrollment ID: I20040225000749
Provider NameTerry J Tolle
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1124131826
PECOS PAC ID: 5991786931
Enrollment ID: I20040526000886
Provider NameJennifer M Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255745303
PECOS PAC ID: 5395961742
Enrollment ID: I20140722000322
Provider NamePaula M Jones
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1033396106
PECOS PAC ID: 9830172162
Enrollment ID: I20151229001170
Provider NameSeth C Mckinney
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1043753197
PECOS PAC ID: 6204117401
Enrollment ID: I20161230000776
Provider NameKrysta L Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992291264
PECOS PAC ID: 0941559983
Enrollment ID: I20180823002641

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.