Magnificat Family Medicine, Llc | |
8240 Naab Rd Ste 416 Indianapolis IN 46260-0012 | |
(317) 306-5588 | |
(317) 550-1544 |
Full Name | Magnificat Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 8240 Naab Rd Ste 416, Indianapolis, Indiana |
Authorized Official Name and Position | Casey L Reising (DIRECTOR/FOUNDER) |
Authorized Official Contact | 3173065588 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Magnificat Family Medicine, Llc 8240 Naab Rd Ste 416 Indianapolis IN 46260-0012 Ph: (317) 306-5588 | Magnificat Family Medicine, Llc 8240 Naab Rd Ste 416 Indianapolis IN 46260-0012 Ph: (317) 306-5588 |
NPI Number | 1427448729 |
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Provider Enumeration Date | 01/26/2015 |
Last Update Date | 08/29/2023 |
Medicare PECOS PAC ID | 5294050985 |
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Medicare Enrollment ID | O20150223000817 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427448729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01074227A (Indiana) | Primary |
Provider Name | Lauren K Dill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205179678 PECOS PAC ID: 7911135900 Enrollment ID: I20140121001471 |
Provider Name | Casey Loraine Delcoco |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720379498 PECOS PAC ID: 8224261912 Enrollment ID: I20140924000251 |
Provider Name | Krystle J Roberts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487066015 PECOS PAC ID: 2264653955 Enrollment ID: I20181018000206 |
Provider Name | Spencer Deig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518497981 PECOS PAC ID: 6901175397 Enrollment ID: I20220927003107 |
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