Northeast Regional Family Practice P.c. is a medicare enrolled primary clinic (Family Medicine) in Wayne, Indiana. The current practice location for Northeast Regional Family Practice P.c. is 10327 Dawsons Creek Blvd 9 D, Wayne, Indiana. For appointments, you can reach them via phone at
(260) 424-8770. The mailing address for Northeast Regional Family Practice P.c. is 10327 Dawsons Creek Blvd 9 D, Wayne, Indiana and phone number is (260) 424-8770.
Northeast Regional Family Practice P.c. is licensed to practice in Indiana (license number 01023389). The clinic also participates in the medicare program and its
NPI number is 1154382729. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(260) 424-8770.
Primary Care Clinic Profile
| Full Name | Northeast Regional Family Practice P.c. |
|---|
| Speciality | Family Medicine |
|---|
| Location | 10327 Dawsons Creek Blvd 9 D, Wayne, Indiana |
|---|
| Authorized Official Name and Position | Walter David Pepple (PRESIDENT) |
|---|
| Authorized Official Contact | 2604228770 |
|---|
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Northeast Regional Family Practice P.c.
10327 Dawsons Creek Blvd 9 D
Wayne
IN 46825
Ph: (260) 424-8770 | Northeast Regional Family Practice P.c.
10327 Dawsons Creek Blvd 9 D
Wayne
IN 46825
Ph: (260) 424-8770 |
NPI Details:
| NPI Number | 1154382729 |
|---|
| Provider Enumeration Date | 03/31/2006 |
|---|
| Last Update Date | 07/15/2014 |
|---|
Medicare PECOS Information:
| Medicare PECOS PAC ID | 7416073952 |
|---|
| Medicare Enrollment ID | O20100922000312 |
|---|
Medical Identifiers
Medical identifiers for Northeast Regional Family Practice P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154382729 | NPI | - | NPPES |
| 100103630D | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01023389 (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northeast Regional Family Practice P.c. acts as a billing entity for following providers:
| Provider Name | Walter David Pepple |
|---|
| Provider Type | Practitioner - Family Practice |
|---|
| Provider Identifiers | NPI Number: 1578637831
PECOS PAC ID: 8325164866
Enrollment ID: I20100922000337 |
|---|
Reviews and Comments