| Marion Primary Care | |
|
1614 N Baldwin Ave Marion IN 46952-1437 | |
| (765) 664-9000 | |
| Not Available |
| Full Name | Marion Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1614 N Baldwin Ave, Marion, Indiana |
| Authorized Official Name and Position | Gardner Bartrum (CEO) |
| Authorized Official Contact | 7656649000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Primary Care 1614 N Baldwin Ave Marion IN 46952-1437 Ph: (765) 664-9000 | Marion Primary Care 1614 N Baldwin Ave Marion IN 46952-1437 Ph: (765) 664-9000 |
| NPI Number | 1225332315 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 07/13/2015 |
| Medicare PECOS PAC ID | 5698957181 |
|---|---|
| Medicare Enrollment ID | O20110304000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225332315 | NPI | - | NPPES |
| 201015960 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcia Gail Bogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396917571 PECOS PAC ID: 2062467558 Enrollment ID: I20050317000471 |
| Provider Name | Ingrid Kay Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003902248 PECOS PAC ID: 9234233909 Enrollment ID: I20070406000204 |
| Provider Name | John W Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780665448 PECOS PAC ID: 6800980947 Enrollment ID: I20080128000498 |
| Provider Name | Sara J Nevil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679857502 PECOS PAC ID: 6002081445 Enrollment ID: I20111213000516 |
| Provider Name | Virginia K Delon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083804124 PECOS PAC ID: 7214178508 Enrollment ID: I20130730000041 |
| Provider Name | John C Westhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194164319 PECOS PAC ID: 8820232168 Enrollment ID: I20130926000354 |
| Provider Name | Shauna H Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114363009 PECOS PAC ID: 6901031277 Enrollment ID: I20131023001323 |
| Provider Name | Audre N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255772430 PECOS PAC ID: 8921234261 Enrollment ID: I20131115000594 |
| Provider Name | Dorinda S Mosbrucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497136865 PECOS PAC ID: 4880907948 Enrollment ID: I20150717001641 |
Ihc Grant-blackford Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 E 32nd St Ste A, Marion, IN 46953 Phone: 765-664-7492 Fax: 765-400-4466 | |
Earnest Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Washington St, Marion, IN 46952 Phone: 765-668-1500 Fax: 765-668-2790 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 S. Westrn Ave, Marion, IN 46953 Phone: 765-697-9142 Fax: 765-697-9143 | |
Hospitalists Of Mgh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-662-4133 | |
Thrive Lagerkvist Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 N Western Ave, Marion, IN 46952 Phone: 765-613-0111 Fax: 765-662-8502 | |
Bridges To Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Washington St, Marion, IN 46952 Phone: 765-662-7289 Fax: 765-662-4708 |