Ivx Health Of Indiana Pc | |
9510 N Meridian St Ste D Indianapolis IN 46260-1333 | |
(317) 210-9005 | |
Not Available |
Full Name | Ivx Health Of Indiana Pc |
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Speciality | Clinic/Center |
Location | 9510 N Meridian St Ste D, Indianapolis, Indiana |
Authorized Official Name and Position | William Seibels (CFO) |
Authorized Official Contact | 6156103727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ivx Health Of Indiana Pc 13344 Metcalf Ave Overland Park KS 66213-2804 Ph: (913) 948-2020 | Ivx Health Of Indiana Pc 9510 N Meridian St Ste D Indianapolis IN 46260-1333 Ph: (317) 210-9005 |
NPI Number | 1568071710 |
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Provider Enumeration Date | 07/23/2020 |
Last Update Date | 07/23/2020 |
Medicare PECOS PAC ID | 6406260041 |
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Medicare Enrollment ID | O20210122000904 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568071710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kimberly Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699231530 PECOS PAC ID: 2365775731 Enrollment ID: I20190618001157 |
Provider Name | Prasant Pandey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457466518 PECOS PAC ID: 9133016652 Enrollment ID: I20210122001027 |
Provider Name | Jessica N. Cook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932709466 PECOS PAC ID: 8921412313 Enrollment ID: I20210126001774 |
Provider Name | Jaclyn Bonifant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831771443 PECOS PAC ID: 8426452210 Enrollment ID: I20210731000347 |
Provider Name | Sarah Zeilinga |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871244079 PECOS PAC ID: 0648666362 Enrollment ID: I20220406001249 |
Provider Name | Caroline T Griffith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811623093 PECOS PAC ID: 3072997717 Enrollment ID: I20220830003479 |
Provider Name | Lauren Montenegro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235897604 PECOS PAC ID: 1759755093 Enrollment ID: I20230328001181 |
Provider Name | Mandeep Kapoor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912601691 PECOS PAC ID: 2264806447 Enrollment ID: I20230330001418 |
Provider Name | Michaela Gabrielle Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407627045 PECOS PAC ID: 4981042280 Enrollment ID: I20240405001107 |
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