Elevate Care Clinic Llc | |
503 W National Ave Brazil IN 47834-2502 | |
(812) 251-4873 | |
Not Available |
Full Name | Elevate Care Clinic Llc |
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Speciality | Clinic/Center |
Location | 503 W National Ave, Brazil, Indiana |
Authorized Official Name and Position | Kaitlyn Nevill (OWNER) |
Authorized Official Contact | 8122514873 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elevate Care Clinic Llc 4160 N Private Road 220 E Brazil IN 47834-8354 Ph: (812) 251-4873 | Elevate Care Clinic Llc 503 W National Ave Brazil IN 47834-2502 Ph: (812) 251-4873 |
NPI Number | 1891497590 |
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Provider Enumeration Date | 03/20/2023 |
Last Update Date | 03/20/2023 |
Medicare PECOS PAC ID | 5597126839 |
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Medicare Enrollment ID | O20230802002135 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891497590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kaitlyn Marie Nevill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740760784 PECOS PAC ID: 5496092074 Enrollment ID: I20190122001254 |
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