Goul Family Medicine Llc | |
5128 E Stop 11 Rd Ste 38 Indianapolis IN 46237-6338 | |
(317) 410-0371 | |
Not Available |
Full Name | Goul Family Medicine Llc |
---|---|
Speciality | Family Medicine |
Location | 5128 E Stop 11 Rd Ste 38, Indianapolis, Indiana |
Authorized Official Name and Position | Rhonda Wilson Goul (OWNER) |
Authorized Official Contact | 3174100371 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Goul Family Medicine Llc 5128 E Stop 11 Rd Ste 38 Indianapolis IN 46237-6338 Ph: (317) 410-0371 | Goul Family Medicine Llc 5128 E Stop 11 Rd Ste 38 Indianapolis IN 46237-6338 Ph: (317) 410-0371 |
NPI Number | 1386331643 |
---|---|
Provider Enumeration Date | 04/18/2023 |
Last Update Date | 08/22/2023 |
Medicare PECOS PAC ID | 0143686204 |
---|---|
Medicare Enrollment ID | O20230515002497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386331643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rhonda Wilson Goul |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023086725 PECOS PAC ID: 5890749287 Enrollment ID: I20050309000248 |
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 | |
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 | |
Cadience Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5602 Caito Dr, Indianapolis, IN 46226 Phone: 901-235-2065 |