| Central Indiana Medical Group | |
|
365 E Main St Greenwood IN 46143-1361 | |
| (317) 881-5152 | |
| (317) 881-8993 |
| Full Name | Central Indiana Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 365 E Main St, Greenwood, Indiana |
| Authorized Official Name and Position | Robert V Klaasen (MANAGING PHYSICIAN) |
| Authorized Official Contact | 3178826663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Indiana Medical Group 1350 E County Line Rd Suite H Indianapolis IN 46227-0873 Ph: (317) 887-7725 | Central Indiana Medical Group 365 E Main St Greenwood IN 46143-1361 Ph: (317) 881-5152 |
| NPI Number | 1871693994 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 12/05/2013 |
| Medicare PECOS PAC ID | 3779671441 |
|---|---|
| Medicare Enrollment ID | O20071113000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871693994 | NPI | - | NPPES |
| CI4722 | Other | IN | GROUP RR MEDICARE # |
| 5457630001 | Other | IN | DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles L Richert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043285604 PECOS PAC ID: 6608919741 Enrollment ID: I20100211000343 |
| Provider Name | Robert E Dicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134193188 PECOS PAC ID: 7012005788 Enrollment ID: I20100225000618 |
Community Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2943 S Morgantown Rd, Greenwood, IN 46143 Phone: 317-882-1233 | |
Meridian Health Services Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 W Stones Crossing Rd Ste 330, Greenwood, IN 46143 Phone: 765-288-1928 | |
County Line Medical Pavilion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E County Line Rd, Suite B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Greenwood Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 281-429-8526 | |
Premier Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 747 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-789-9600 Fax: 317-789-0600 | |
Greenwood Family Care A.s.a.p. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 Stonegate Dr, Greenwood, IN 46142 Phone: 317-215-4367 Fax: 317-888-4706 | |
Southside Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 N Madison Ave, Greenwood, IN 46142 Phone: 317-887-7624 Fax: 317-887-7625 |