| Clearvista Recovery Associates Pc | |
|
7250 Clearvista Dr Suite 327a Indianapolis IN 46256-4692 | |
| (317) 621-7390 | |
| (317) 621-4494 |
| Full Name | Clearvista Recovery Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7250 Clearvista Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Timothy J Kelly (OWNER) |
| Authorized Official Contact | 3176217390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearvista Recovery Associates Pc 7250 Clearvista Dr Suite 327a Indianapolis IN 46256-4692 Ph: (317) 621-7390 | Clearvista Recovery Associates Pc 7250 Clearvista Dr Suite 327a Indianapolis IN 46256-4692 Ph: (317) 621-7390 |
| NPI Number | 1821281973 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 06/11/2014 |
| Medicare PECOS PAC ID | 4688750318 |
|---|---|
| Medicare Enrollment ID | O20080320000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821281973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01028972 (Indiana) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 01028972 (Indiana) | Primary |
| Provider Name | Timothy J Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730297748 PECOS PAC ID: 0345142048 Enrollment ID: I20080324000324 |
| Provider Name | Rebecca H Kelly |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1740385525 PECOS PAC ID: 1951487685 Enrollment ID: I20080324000368 |
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