Doctors To Home Llc | |
1119 Keystone Way Ste 117c Carmel IN 46032-3356 | |
(317) 214-2100 | |
(317) 214-2101 |
Full Name | Doctors To Home Llc |
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Speciality | Family Medicine |
Location | 1119 Keystone Way Ste 117c, Carmel, Indiana |
Authorized Official Name and Position | Saranya Nagireddy (DIRECTOR) |
Authorized Official Contact | 3142142100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Doctors To Home Llc 1119 Keystone Way Ste 117c Carmel IN 46032-3356 Ph: (317) 214-2100 | Doctors To Home Llc 1119 Keystone Way Ste 117c Carmel IN 46032-3356 Ph: (317) 214-2100 |
NPI Number | 1457719163 |
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Provider Enumeration Date | 02/09/2016 |
Last Update Date | 03/13/2023 |
Medicare PECOS PAC ID | 2163728650 |
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Medicare Enrollment ID | O20160309001582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457719163 | NPI | - | NPPES |
201346330A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ronit Levin Reuveny |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356329940 PECOS PAC ID: 9436100682 Enrollment ID: I20081002000036 |
Provider Name | John D Heflin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457555831 PECOS PAC ID: 9335306455 Enrollment ID: I20120201000530 |
Provider Name | Janelle Elizabeth Vest |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124506357 PECOS PAC ID: 8123370566 Enrollment ID: I20181011002660 |
Provider Name | Julie Lynn Whiteside |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235848086 PECOS PAC ID: 9739557497 Enrollment ID: I20221130001848 |
Provider Name | Audrey Carolyn Avitabile |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417086117 PECOS PAC ID: 5092813071 Enrollment ID: I20230320000692 |
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