Empowerme Medical Group, Pc | |
1941 W Us Highway 40 Brazil IN 47834-7359 | |
(877) 367-9772 | |
Not Available |
Full Name | Empowerme Medical Group, Pc |
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Speciality | Internal Medicine |
Location | 1941 W Us Highway 40, Brazil, Indiana |
Authorized Official Name and Position | David Church (VP OF FINANCE) |
Authorized Official Contact | 6189725228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empowerme Medical Group, Pc 1335 Strassner Dr Brentwood MO 63144-1872 Ph: (877) 367-9772 | Empowerme Medical Group, Pc 1941 W Us Highway 40 Brazil IN 47834-7359 Ph: (877) 367-9772 |
NPI Number | 1164274981 |
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Provider Enumeration Date | 04/04/2024 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 7214392059 |
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Medicare Enrollment ID | O20240410000926 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164274981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph Mitchell |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1952669152 PECOS PAC ID: 5496981425 Enrollment ID: I20240411000411 |
Provider Name | Kristopher Wolfe |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1497137947 PECOS PAC ID: 5193073575 Enrollment ID: I20240416003173 |
Provider Name | Chelsea Roth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740714674 PECOS PAC ID: 7214207273 Enrollment ID: I20240417002680 |
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