| Gastroenterology Consultants Pc | |
|
7250 Clearvista Drive Suite 375 Indianapolis IN 46256 | |
| (317) 621-2100 | |
| (317) 621-2105 |
| Full Name | Gastroenterology Consultants Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7250 Clearvista Drive, Indianapolis, Indiana |
| Authorized Official Name and Position | Brian D Clarke (PRESIDENT) |
| Authorized Official Contact | 3178486900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Pc 13421 Old Meridian Street Suite 201 Carmel IN 46032 Ph: (317) 848-6900 | Gastroenterology Consultants Pc 7250 Clearvista Drive Suite 375 Indianapolis IN 46256 Ph: (317) 621-2100 |
| NPI Number | 1972620060 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 10/20/2020 |
| Medicare PECOS PAC ID | 1153366554 |
|---|---|
| Medicare Enrollment ID | O20050627000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972620060 | NPI | - | NPPES |
| 100378800 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 01034548A (Indiana) | Primary |
| Provider Name | Brian D Clarke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316960669 PECOS PAC ID: 4284528993 Enrollment ID: I20110208000988 |
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