Jonathan Alley, D.o., P.c. | |
424 Williams St Angola IN 46703-1556 | |
(260) 665-5170 | |
(260) 665-6979 |
Full Name | Jonathan Alley, D.o., P.c. |
---|---|
Speciality | Family Medicine |
Location | 424 Williams St, Angola, Indiana |
Authorized Official Name and Position | Jonathan E Alley (OWNER) |
Authorized Official Contact | 2606655170 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jonathan Alley, D.o., P.c. 424 Williams St Angola IN 46703-1556 Ph: (260) 665-5170 | Jonathan Alley, D.o., P.c. 424 Williams St Angola IN 46703-1556 Ph: (260) 665-5170 |
NPI Number | 1801112347 |
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Provider Enumeration Date | 04/08/2010 |
Last Update Date | 04/09/2024 |
Medicare PECOS PAC ID | 7618004094 |
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Medicare Enrollment ID | O20100415000571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801112347 | NPI | - | NPPES |
000000263260 | Other | IN | BLUE SHIELD |
4416561 | Other | IN | AETNA |
100225890A | Medicaid | IN | |
5463 | Other | IN | PHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 020014D6A (Indiana) | Primary |
Provider Name | Jonathan E Alley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083672919 PECOS PAC ID: 1355342247 Enrollment ID: I20080606000017 |
Christopher J. Bretz, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3270 Intertech Dr, Suite B, Angola, IN 46703 Phone: 260-665-9100 Fax: 260-665-9112 | |
Urgent Care Of Cameron Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1381 N Wayne St, Angola, IN 46703 Phone: 260-665-8222 Fax: 260-665-8970 | |
Cameron Ob/gyn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 E Maumee St Ste 101, Angola, IN 46703 Phone: 260-667-5670 Fax: 260-667-5680 | |
Watkins Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Maumee St, Angola, IN 46703 Phone: 260-665-2164 Fax: 260-665-3932 | |
Dunlap Eye Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Wayne St, Angola, IN 46703 Phone: 260-665-5450 Fax: 260-665-5860 | |
Hollingsworth Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Williams St, Angola, IN 46703 Phone: 260-665-2161 | |
Cameron Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 W Maumee St, Angola, IN 46703 Phone: 260-665-8494 |