| Excell For Life Family Care And Pediatrics Inc. | |
|
1329 W 96th St Suite 1 Indianapolis IN 46260-1190 | |
| (317) 660-0888 | |
| (317) 660-0880 |
| Full Name | Excell For Life Family Care And Pediatrics Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1329 W 96th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Lisa A Miller (OWNER) |
| Authorized Official Contact | 3176600888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excell For Life Family Care And Pediatrics Inc. 1329 W 96th St Suite 1 Indianapolis IN 46260-1190 Ph: (317) 660-0888 | Excell For Life Family Care And Pediatrics Inc. 1329 W 96th St Suite 1 Indianapolis IN 46260-1190 Ph: (317) 660-0888 |
| NPI Number | 1902192016 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 10/26/2016 |
| Medicare PECOS PAC ID | 5395915169 |
|---|---|
| Medicare Enrollment ID | O20110906000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902192016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036098A (Indiana) | Primary |
| Provider Name | Lisa A Miller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669486148 PECOS PAC ID: 0648252759 Enrollment ID: I20040602001656 |
| Provider Name | Amy A Nicley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639248214 PECOS PAC ID: 8820193816 Enrollment ID: I20070419000608 |
| Provider Name | Allison C Newsom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679733117 PECOS PAC ID: 3173778255 Enrollment ID: I20130220000336 |
| Provider Name | Katherine A Marciniec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770836256 PECOS PAC ID: 5698910289 Enrollment ID: I20130402000506 |
| Provider Name | Nicoletta M Wilhoite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942543368 PECOS PAC ID: 6800038225 Enrollment ID: I20130815000154 |
| Provider Name | Nancy Thong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639567597 PECOS PAC ID: 1153647094 Enrollment ID: I20150311002046 |
| Provider Name | Tara Rene Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477853950 PECOS PAC ID: 9436465440 Enrollment ID: I20191122000929 |
| Provider Name | Nathan Bleeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306342647 PECOS PAC ID: 1557618899 Enrollment ID: I20210702001894 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |