- Medicare Primary Care in Indianapolis, IN

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is a medicare enrolled primary clinic (General Practice) in Indianapolis, Indiana. The current practice location for is 2160 W 86th St Ste 200, Indianapolis, Indiana. For appointments, you can reach them via phone at (941) 539-9889. The mailing address for is 200 Byrd Way Ste 205, Greenwood, Indiana and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1508521220. 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 (941) 539-9889.

Contact Information

2160 W 86th St Ste 200
Indianapolis
IN 46260-1908
(941) 539-9889
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityGeneral Practice
Location2160 W 86th St Ste 200, Indianapolis, Indiana
Authorized Official Name and PositionLindsay Barker (CREDENTIALING MANAGER)
Authorized Official Contact7343730849
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

200 Byrd Way Ste 205
Greenwood
IN 46143-5687

Ph: () -
2160 W 86th St Ste 200
Indianapolis
IN 46260-1908

Ph: (941) 539-9889

NPI Details:

NPI Number1508521220
Provider Enumeration Date11/08/2021
Last Update Date07/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6406101625
Medicare Enrollment IDO20220215002070

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508521220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameCheryl V Facey-graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730377623
PECOS PAC ID: 0941285365
Enrollment ID: I20040621001053
Provider NameStacey M Engel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871900498
PECOS PAC ID: 4284853813
Enrollment ID: I20140915000811
Provider NameAmy Jo Horn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295196673
PECOS PAC ID: 0143510933
Enrollment ID: I20180727002061
Provider NameMichael Mitcheff
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962684811
PECOS PAC ID: 4183019557
Enrollment ID: I20220322000618
Provider NameSudha Rani Manepalli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588316087
PECOS PAC ID: 5496136657
Enrollment ID: I20220719002097

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.