Madison Direct Health | |
110 Holt Dr Madison IN 47250-3873 | |
(812) 265-2500 | |
Not Available |
Full Name | Madison Direct Health |
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Speciality | Clinic/Center |
Location | 110 Holt Dr, Madison, Indiana |
Authorized Official Name and Position | Brandy Smith (OWNER/MANAGER) |
Authorized Official Contact | 8122652500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Madison Direct Health Po Box 1414 Madison IN 47250-1414 Ph: (812) 265-2500 | Madison Direct Health 110 Holt Dr Madison IN 47250-3873 Ph: (812) 265-2500 |
NPI Number | 1013513282 |
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Provider Enumeration Date | 12/11/2020 |
Last Update Date | 09/27/2023 |
Medicare PECOS PAC ID | 8628481132 |
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Medicare Enrollment ID | O20201230000518 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013513282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Brandy J Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992203079 PECOS PAC ID: 4082960646 Enrollment ID: I20180712000234 |
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