| Primariahealth, Pc | |
|
9365 Counselors Row Ste 210 Indianapolis IN 46240-6418 | |
| (713) 461-2915 | |
| Not Available |
| Full Name | Primariahealth, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9365 Counselors Row Ste 210, Indianapolis, Indiana |
| Authorized Official Name and Position | Kristi I Lee (SENIOR DIRECTOR) |
| Authorized Official Contact | 9048442271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primariahealth, Pc Attn Box 360165 Ross St 154-0455 Pittsburgh PA 15262-0001 Ph: (713) 461-2915 | Primariahealth, Pc 9365 Counselors Row Ste 210 Indianapolis IN 46240-6418 Ph: (713) 461-2915 |
| NPI Number | 1669909388 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 4981973443 |
|---|---|
| Medicare Enrollment ID | O20170627002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669909388 | NPI | - | NPPES |
| Provider Name | Valerie A Pai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326052341 PECOS PAC ID: 2163311143 Enrollment ID: I20040315001426 |
| Provider Name | Baikadi A Ravindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280015 PECOS PAC ID: 5294626016 Enrollment ID: I20040615000941 |
| Provider Name | Techsin T Ty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992705156 PECOS PAC ID: 7113818931 Enrollment ID: I20040615000962 |
| Provider Name | Idella N Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912085879 PECOS PAC ID: 4183688781 Enrollment ID: I20041115000001 |
| Provider Name | David Michael Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104903111 PECOS PAC ID: 8921055708 Enrollment ID: I20050404000872 |
| Provider Name | Sheilah Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871983833 PECOS PAC ID: 6002135928 Enrollment ID: I20160122001057 |
| Provider Name | Clive K Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366447583 PECOS PAC ID: 2961436845 Enrollment ID: I20170726004165 |
| Provider Name | Dawn Marie Mahaffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033639679 PECOS PAC ID: 6901170273 Enrollment ID: I20170926000531 |
| Provider Name | Cassandra L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811537244 PECOS PAC ID: 0749606259 Enrollment ID: I20200814000574 |
| Provider Name | Michelle R Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588270615 PECOS PAC ID: 9830509710 Enrollment ID: I20201104000694 |
| Provider Name | Breanna Kay Hostetler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093386617 PECOS PAC ID: 4981008612 Enrollment ID: I20210803002048 |
| Provider Name | Sylvia Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471083 PECOS PAC ID: 4082047311 Enrollment ID: I20211215001619 |
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