Iu Health Bedford Physicians, Llc | |
2900 16th St Bedford IN 47421-3510 | |
(812) 275-1200 | |
Not Available |
Full Name | Iu Health Bedford Physicians, Llc |
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Speciality | Clinic/Center |
Location | 2900 16th St, Bedford, Indiana |
Authorized Official Name and Position | Michael Craig (CFO) |
Authorized Official Contact | 8123539554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iu Health Bedford Physicians, Llc Po Box 1329 Bloomington IN 47402-1329 Ph: (812) 353-6091 | Iu Health Bedford Physicians, Llc 2900 16th St Bedford IN 47421-3510 Ph: (812) 275-1200 |
NPI Number | 1730430745 |
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Provider Enumeration Date | 10/01/2012 |
Last Update Date | 02/15/2018 |
Medicare PECOS PAC ID | 4183861685 |
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Medicare Enrollment ID | O20130430000297 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730430745 | NPI | - | NPPES |
Provider Name | Julie Ann Maudlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306801642 PECOS PAC ID: 2769386572 Enrollment ID: I20031124000208 |
Provider Name | David Matlock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528053485 PECOS PAC ID: 0648239558 Enrollment ID: I20041006001203 |
Provider Name | Lynn M Brooking |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1811982853 PECOS PAC ID: 8426080227 Enrollment ID: I20050831000978 |
Provider Name | Jessica Dowe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265497499 PECOS PAC ID: 6103711973 Enrollment ID: I20060927000042 |
Provider Name | Vanessa L Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255525770 PECOS PAC ID: 6800976945 Enrollment ID: I20080102000497 |
Provider Name | Donald G Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952388035 PECOS PAC ID: 0143303933 Enrollment ID: I20080218000256 |
Provider Name | Ramesh B Kalari |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1801098983 PECOS PAC ID: 3072607241 Enrollment ID: I20081124000399 |
Provider Name | Cristina Bickford |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467446260 PECOS PAC ID: 6305994302 Enrollment ID: I20090430000527 |
Provider Name | Kamal Girgis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659365484 PECOS PAC ID: 9032267810 Enrollment ID: I20090505000280 |
Provider Name | Joanne Smart |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659365385 PECOS PAC ID: 0547319816 Enrollment ID: I20090515000099 |
Provider Name | Barbara A Deich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033103866 PECOS PAC ID: 4789733080 Enrollment ID: I20090515000304 |
Provider Name | Rafi U Siddiqi |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1104810878 PECOS PAC ID: 1850442583 Enrollment ID: I20090619000312 |
Provider Name | Terri L Kimbley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194719922 PECOS PAC ID: 4486706470 Enrollment ID: I20090722000644 |
Provider Name | Amy E Nikirk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114255635 PECOS PAC ID: 9436291879 Enrollment ID: I20100122000190 |
Provider Name | Hojjat Shamloo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578557245 PECOS PAC ID: 0244258853 Enrollment ID: I20101004000322 |
Provider Name | Sherri Mathies |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497060644 PECOS PAC ID: 1355538067 Enrollment ID: I20101207001086 |
Provider Name | Jamais Nottger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851693022 PECOS PAC ID: 2264615723 Enrollment ID: I20110322000561 |
Provider Name | Jennifer A Sayers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972807451 PECOS PAC ID: 4082892567 Enrollment ID: I20110705000343 |
Provider Name | Tassawar Hussain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427212026 PECOS PAC ID: 9830366145 Enrollment ID: I20120126000611 |
Provider Name | Sarah Whiteman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588928014 PECOS PAC ID: 6002064110 Enrollment ID: I20120914000467 |
Provider Name | Brian Dean Brazzell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558614461 PECOS PAC ID: 6800049867 Enrollment ID: I20121227000259 |
Provider Name | Regina Macy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356349864 PECOS PAC ID: 3274573993 Enrollment ID: I20130917000568 |
Provider Name | Reagan Mosier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467834200 PECOS PAC ID: 6709193063 Enrollment ID: I20150918000514 |
Provider Name | Danielle Shirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467810853 PECOS PAC ID: 6901105329 Enrollment ID: I20160505001307 |
Provider Name | Rachel Gross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659731149 PECOS PAC ID: 3577852813 Enrollment ID: I20160510001310 |
Provider Name | Aimee Cross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255789327 PECOS PAC ID: 6406149558 Enrollment ID: I20160727000151 |
Provider Name | Sarah Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407207079 PECOS PAC ID: 1658665120 Enrollment ID: I20160805000776 |
Provider Name | David Boardman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750382040 PECOS PAC ID: 9335146497 Enrollment ID: I20161011002630 |
Provider Name | Vicky Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053715045 PECOS PAC ID: 8224319199 Enrollment ID: I20170109001080 |
Provider Name | Holly L Russell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104338623 PECOS PAC ID: 2062778376 Enrollment ID: I20171101003648 |
Provider Name | Hilary Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508382003 PECOS PAC ID: 7315203064 Enrollment ID: I20171113002021 |
Provider Name | Beverly J Shamloo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003399759 PECOS PAC ID: 8527311224 Enrollment ID: I20181026000464 |
Provider Name | Brandee Starr Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376028001 PECOS PAC ID: 9739433301 Enrollment ID: I20181116002533 |
Provider Name | Anum Fasih |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891170718 PECOS PAC ID: 6305150731 Enrollment ID: I20191007002510 |
Provider Name | Holly Lyne Terrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457910689 PECOS PAC ID: 2961835533 Enrollment ID: I20191212001610 |
Provider Name | Jenna Grile |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407404866 PECOS PAC ID: 6406281823 Enrollment ID: I20200311001589 |
Provider Name | Jennifer Leighanne Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437771060 PECOS PAC ID: 5193145472 Enrollment ID: I20201027000806 |
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