Greencastle Internal Medicine & Primary Care, Llc | |
305 Medic Way Greencastle IN 46135-2296 | |
(765) 653-4633 | |
(765) 653-0562 |
Full Name | Greencastle Internal Medicine & Primary Care, Llc |
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Speciality | Internal Medicine |
Location | 305 Medic Way, Greencastle, Indiana |
Authorized Official Name and Position | Troy T Quiz (OWNER) |
Authorized Official Contact | 7656534633 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greencastle Internal Medicine & Primary Care, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 653-4633 | Greencastle Internal Medicine & Primary Care, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 653-4633 |
NPI Number | 1528274941 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 05/14/2008 |
Medicare PECOS PAC ID | 2961587142 |
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Medicare Enrollment ID | O20080312000282 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528274941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01048550 (Indiana) | Primary |
Provider Name | Troy T Quiz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245238575 PECOS PAC ID: 6608951884 Enrollment ID: I20080312000276 |
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