| One Doc Pllc | |
|
1400 W State St Building B West Lafayette IN 47906-3438 | |
| (423) 602-9530 | |
| Not Available |
| Full Name | One Doc Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 W State St, West Lafayette, Indiana |
| Authorized Official Name and Position | Keith Helton (CEO) |
| Authorized Official Contact | 4236029530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Doc Pllc 1067 Riverfront Pkwy Ste 201 Chattanooga TN 37402-2222 Ph: () - | One Doc Pllc 1400 W State St Building B West Lafayette IN 47906-3438 Ph: (423) 602-9530 |
| NPI Number | 1265968549 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 8820424393 |
|---|---|
| Medicare Enrollment ID | O20200130003292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265968549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01078357A (Indiana) | Primary |
| Provider Name | Melissa Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568494243 PECOS PAC ID: 0042241606 Enrollment ID: I20050824000411 |
| Provider Name | David Helton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235195868 PECOS PAC ID: 8729115621 Enrollment ID: I20100426000203 |
| Provider Name | Nancy K Moughrabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225261886 PECOS PAC ID: 5496936262 Enrollment ID: I20110301000571 |
| Provider Name | Kristina C Wick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578792933 PECOS PAC ID: 4284858028 Enrollment ID: I20140617001429 |
| Provider Name | Alison L Bailey |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1992715502 PECOS PAC ID: 8224009857 Enrollment ID: I20151029001797 |
| Provider Name | Amy Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750829040 PECOS PAC ID: 8325315013 Enrollment ID: I20190827002107 |
| Provider Name | Kathryn Russell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609480227 PECOS PAC ID: 3173937141 Enrollment ID: I20210203000149 |
| Provider Name | Bailey Jo Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922680438 PECOS PAC ID: 7113315144 Enrollment ID: I20211025002408 |
| Provider Name | Anna Borneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770101958 PECOS PAC ID: 8022407014 Enrollment ID: I20211112000971 |
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Coze Health Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906 Phone: 765-204-1122 Fax: 765-205-8322 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701-b Kent Ave. Door # 8, West Lafayette, IN 47906 Phone: 866-808-6005 | |
One To One Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W State St, Building B Suite C, West Lafayette, IN 47906 Phone: 423-602-9530 |