| Family Medicine Of Greencastle | |
|
309 Medic Way Greencastle IN 46135-2296 | |
| (765) 653-2626 | |
| (765) 653-2300 |
| Full Name | Family Medicine Of Greencastle |
|---|---|
| Speciality | Clinic/Center |
| Location | 309 Medic Way, Greencastle, Indiana |
| Authorized Official Name and Position | Dennis Weatherford (CEO) |
| Authorized Official Contact | 7653017525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Greencastle 1542 S Bloomington St Greencastle IN 46135-2212 Ph: (765) 301-7525 | Family Medicine Of Greencastle 309 Medic Way Greencastle IN 46135-2296 Ph: (765) 653-2626 |
| NPI Number | 1437750015 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 1951396605 |
|---|---|
| Medicare Enrollment ID | O20201209000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437750015 | NPI | - | NPPES |
| Provider Name | Warren L Macy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295718310 PECOS PAC ID: 1355304593 Enrollment ID: I20041108001263 |
| Provider Name | Brandie D Ruark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366721060 PECOS PAC ID: 9638340839 Enrollment ID: I20110920000405 |
| Provider Name | Adam David Amos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407122666 PECOS PAC ID: 6608012810 Enrollment ID: I20140306000655 |
| Provider Name | Benjamin Lee Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144717000 PECOS PAC ID: 4688939002 Enrollment ID: I20180605002034 |
| Provider Name | Megan N Nyee Macki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417578584 PECOS PAC ID: 0547682411 Enrollment ID: I20200623000436 |
| Provider Name | Shayna L Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159485 PECOS PAC ID: 7911319561 Enrollment ID: I20201223002187 |
| Provider Name | Crystal M Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801468475 PECOS PAC ID: 4587053525 Enrollment ID: I20211115000226 |
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