| Primary Telecare Llc | |
|
1910 W Royale Dr Muncie IN 47304-2264 | |
| (765) 289-1011 | |
| Not Available |
| Full Name | Primary Telecare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1910 W Royale Dr, Muncie, Indiana |
| Authorized Official Name and Position | Erika Green (OWNER) |
| Authorized Official Contact | 3177034414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Telecare Llc 3677 Gould Dr Carmel IN 46033-4750 Ph: (317) 703-4414 | Primary Telecare Llc 1910 W Royale Dr Muncie IN 47304-2264 Ph: (765) 289-1011 |
| NPI Number | 1639765902 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 6002221801 |
|---|---|
| Medicare Enrollment ID | O20210208002670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639765902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Erika Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649443722 PECOS PAC ID: 9830251891 Enrollment ID: I20081229000501 |
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