| Stephen R Beck Md Pc | |
|
2704 E 62nd St Ste A Indianapolis IN 46220-2984 | |
| (317) 257-1535 | |
| (315) 257-7794 |
| Full Name | Stephen R Beck Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2704 E 62nd St, Indianapolis, Indiana |
| Authorized Official Name and Position | Stephen Robert Beck (DOCTOR) |
| Authorized Official Contact | 3172571535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Beck Md Pc 2704 E 62nd St Ste A Indianapolis IN 46220-2985 Ph: (317) 257-1535 | Stephen R Beck Md Pc 2704 E 62nd St Ste A Indianapolis IN 46220-2984 Ph: (317) 257-1535 |
| NPI Number | 1598955882 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 12/27/2011 |
| Medicare PECOS PAC ID | 7214102649 |
|---|---|
| Medicare Enrollment ID | O20111213000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598955882 | NPI | - | NPPES |
| 100347140A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01036074 (Indiana) | Primary |
| Provider Name | Stephen R Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174639249 PECOS PAC ID: 8123293552 Enrollment ID: I20120112000069 |
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