My Mobile Md Northern Indiana - Medicare Primary Care in Indianapolis, IN

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My Mobile Md Northern Indiana is a medicare enrolled primary clinic (Family Medicine) in Indianapolis, Indiana. The current practice location for My Mobile Md Northern Indiana is 429 E Vermont St Ste 110, Indianapolis, Indiana. For appointments, you can reach them via phone at (317) 559-0950. The mailing address for My Mobile Md Northern Indiana is Po Box 305, Union City, Indiana and phone number is (765) 969-7841.

My Mobile Md Northern Indiana is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629623913. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (317) 559-0950.

Contact Information

My Mobile Md Northern Indiana
429 E Vermont St Ste 110
Indianapolis
IN 46202-3685
(317) 559-0950
(317) 936-3028

Map and Direction


Primary Care Clinic Profile

Full NameMy Mobile Md Northern Indiana
SpecialityFamily Medicine
Location429 E Vermont St Ste 110, Indianapolis, Indiana
Authorized Official Name and PositionSteve Martin (CEO)
Authorized Official Contact3176706635
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
My Mobile Md Northern Indiana
Po Box 305
Union City
IN 47390-0305

Ph: (765) 969-7841		My Mobile Md Northern Indiana
429 E Vermont St Ste 110
Indianapolis
IN 46202-3685

Ph: (317) 559-0950

NPI Details:

NPI Number1629623913
Provider Enumeration Date08/05/2019
Last Update Date04/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7517296338
Medicare Enrollment IDO20190904001254

Medical Identifiers

Medical identifiers for My Mobile Md Northern Indiana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629623913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. My Mobile Md Northern Indiana acts as a billing entity for following providers:
Provider NameHolly P Wyss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518050426
PECOS PAC ID: 5991895278
Enrollment ID: I20071227000130
Provider NameJoe Banks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154508075
PECOS PAC ID: 7113098765
Enrollment ID: I20080625000389
Provider NameTanya Ruth Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407954696
PECOS PAC ID: 6406905223
Enrollment ID: I20090527000078
Provider NamePatricia Mae Browning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760785091
PECOS PAC ID: 9234306796
Enrollment ID: I20120124000602
Provider NameCheryl L Rader
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639457724
PECOS PAC ID: 4082839881
Enrollment ID: I20140711001152
Provider NameMeagan H. Corey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104278316
PECOS PAC ID: 5092009126
Enrollment ID: I20160811001431
Provider NameChatel A Beck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518406990
PECOS PAC ID: 3375828155
Enrollment ID: I20170317000128
Provider NameDanielle R Hollenbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659855310
PECOS PAC ID: 3577805746
Enrollment ID: I20190509000051
Provider NameMia Stowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699243089
PECOS PAC ID: 3173866399
Enrollment ID: I20190509002490
Provider NameRyan Matthew Pickell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578943460
PECOS PAC ID: 3870805294
Enrollment ID: I20190904001423
Provider NameVeena Reddy
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1750671137
PECOS PAC ID: 9931400421
Enrollment ID: I20190917003862
Provider NameAngela Marie Eten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376041061
PECOS PAC ID: 7618225962
Enrollment ID: I20190926001592
Provider NameElizabeth Ann Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164847372
PECOS PAC ID: 8729393160
Enrollment ID: I20191115001363
Provider NameKaitlyn M Depinet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902420771
PECOS PAC ID: 2466874334
Enrollment ID: I20200623000384
Provider NameCorinne L Barrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013528256
PECOS PAC ID: 2062831951
Enrollment ID: I20200925001455
Provider NameHannah Coomer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497358444
PECOS PAC ID: 0446661904
Enrollment ID: I20201204001903
Provider NameLaurin Ashlee Pressley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467053165
PECOS PAC ID: 0143633917
Enrollment ID: I20210115002023
Provider NameCynthia Teyou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831762343
PECOS PAC ID: 0941604839
Enrollment ID: I20210816000601
Provider NameHeather A Pickett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194490185
PECOS PAC ID: 8729483029
Enrollment ID: I20210825001525
Provider NameLauren Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134893555
PECOS PAC ID: 3274939129
Enrollment ID: I20210915002835
Provider NameAshlee R Mack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942811682
PECOS PAC ID: 4183043755
Enrollment ID: I20211012002358
Provider NameEmily Hackett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790440030
PECOS PAC ID: 1456746700
Enrollment ID: I20220323000994
Provider NameDanielle Carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609434539
PECOS PAC ID: 8527492636
Enrollment ID: I20220701001622
Provider NameDattaben Pandya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255046728
PECOS PAC ID: 8729452610
Enrollment ID: I20230315002423
Provider NameHeather Renee Gibbens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013628809
PECOS PAC ID: 3173989779
Enrollment ID: I20230524003251

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.