| Indiana Pain And Wellness Center Pc | |
|
1305 W 96th St Ste C Indianapolis IN 46260-1193 | |
| (317) 580-9867 | |
| Not Available |
| Full Name | Indiana Pain And Wellness Center Pc |
|---|---|
| Speciality | General Practice |
| Location | 1305 W 96th St Ste C, Indianapolis, Indiana |
| Authorized Official Name and Position | Mary Jo Johnson (OWNER) |
| Authorized Official Contact | 3175809867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Pain And Wellness Center Pc 1305 W 96th St Ste C Indianapolis IN 46260-1193 Ph: (317) 580-9867 | Indiana Pain And Wellness Center Pc 1305 W 96th St Ste C Indianapolis IN 46260-1193 Ph: (317) 580-9867 |
| NPI Number | 1417630336 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Medicare PECOS PAC ID | 7012361645 |
|---|---|
| Medicare Enrollment ID | O20230929001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417630336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mary Jo Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851383491 PECOS PAC ID: 9739270661 Enrollment ID: I20070808000147 |
| Provider Name | Steven R Avitabile |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396727251 PECOS PAC ID: 4789767740 Enrollment ID: I20230316002711 |
| Provider Name | Audrey Carolyn Avitabile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417086117 PECOS PAC ID: 5092813071 Enrollment ID: I20230320000692 |
| Provider Name | Alexis Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467963348 PECOS PAC ID: 4981961919 Enrollment ID: I20240130001603 |
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 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
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 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |