| In His Hands Family Medicine Llc | |
|
461 Town Center St N Mooresville IN 46158-2316 | |
| (317) 584-3255 | |
| (317) 584-3259 |
| Full Name | In His Hands Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 461 Town Center St N, Mooresville, Indiana |
| Authorized Official Name and Position | Jennifer Irene Wakeland Bigelow (OWNER/PRESIDENT) |
| Authorized Official Contact | 3175843255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In His Hands Family Medicine Llc 461 Town Center St N Mooresville IN 46158-2316 Ph: (317) 584-3255 | In His Hands Family Medicine Llc 461 Town Center St N Mooresville IN 46158-2316 Ph: (317) 584-3255 |
| NPI Number | 1861937419 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 0345647194 |
|---|---|
| Medicare Enrollment ID | O20210922000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861937419 | NPI | - | NPPES |
| LPI200198850B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01050867A (Indiana) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 01050867A (Indiana) | Secondary |
| Provider Name | Jennifer W Bigelow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750363123 PECOS PAC ID: 8325089485 Enrollment ID: I20050518001144 |
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