| Health And Wellness Of Carmel, Llc | |
|
11900 N Pennsylvania St Ste 200 Carmel IN 46032-4694 | |
| (317) 663-7123 | |
| (317) 587-0496 |
| Full Name | Health And Wellness Of Carmel, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11900 N Pennsylvania St, Carmel, Indiana |
| Authorized Official Name and Position | Clifford W. Fetters (CEO) |
| Authorized Official Contact | 3176637128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health And Wellness Of Carmel, Llc 11900 N Pennsylvania St Ste 200 Carmel IN 46032-4694 Ph: (317) 663-7123 | Health And Wellness Of Carmel, Llc 11900 N Pennsylvania St Ste 200 Carmel IN 46032-4694 Ph: (317) 663-7123 |
| NPI Number | 1477786853 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
| Medicare PECOS PAC ID | 8022154640 |
|---|---|
| Medicare Enrollment ID | O20091012000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477786853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce Metzgar Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306854716 PECOS PAC ID: 3971580358 Enrollment ID: I20040702000700 |
| Provider Name | Clifford W Fetters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174722946 PECOS PAC ID: 3274557889 Enrollment ID: I20060123000598 |
| Provider Name | Deanna L Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225268519 PECOS PAC ID: 5294872362 Enrollment ID: I20091021000703 |
| Provider Name | Annamarie Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386041853 PECOS PAC ID: 2860710183 Enrollment ID: I20150417000797 |
| Provider Name | Steven A Foley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194700179 PECOS PAC ID: 8224932090 Enrollment ID: I20191115000344 |
| Provider Name | Stephanie N Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447882840 PECOS PAC ID: 1052741295 Enrollment ID: I20200430001839 |
| Provider Name | Lori R Rigney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548851934 PECOS PAC ID: 1658787023 Enrollment ID: I20210309002760 |
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