| S3 Medical Consultants Llc | |
|
900 N High School Rd Indianapolis IN 46214-3759 | |
| (615) 478-3720 | |
| Not Available |
| Full Name | S3 Medical Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 N High School Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeremy Tyson Sullivan (PARTNER) |
| Authorized Official Contact | 6154783720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S3 Medical Consultants Llc 2063 Finchley Rd Carmel IN 46032-7337 Ph: (615) 478-3720 | S3 Medical Consultants Llc 900 N High School Rd Indianapolis IN 46214-3759 Ph: (615) 478-3720 |
| NPI Number | 1891360079 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 9931509619 |
|---|---|
| Medicare Enrollment ID | O20210617000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891360079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeremy T Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053379644 PECOS PAC ID: 8729143615 Enrollment ID: I20090706000135 |
| Provider Name | Rose C Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396080024 PECOS PAC ID: 7911152905 Enrollment ID: I20130222000358 |
| Provider Name | Natalie S Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730429994 PECOS PAC ID: 4082851464 Enrollment ID: I20130501000467 |
| Provider Name | Lori Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679939987 PECOS PAC ID: 0648579086 Enrollment ID: I20160505002037 |
| Provider Name | James Schrettenbrunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437625803 PECOS PAC ID: 9032455167 Enrollment ID: I20190110003014 |
| Provider Name | Ayee Bleemie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457975740 PECOS PAC ID: 6002238151 Enrollment ID: I20200619000349 |
| Provider Name | Shahlini K Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720308430 PECOS PAC ID: 3779676911 Enrollment ID: I20220125000170 |
| Provider Name | Mandy Vires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023707171 PECOS PAC ID: 6709246366 Enrollment ID: I20230714002032 |
| Provider Name | Carolyn L Mangozhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629771605 PECOS PAC ID: 4981067758 Enrollment ID: I20230825002503 |
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