Wright Family Practice | |
299 E Pendleton Ave Lapel IN 46051-5546 | |
(765) 534-3636 | |
(765) 534-3638 |
Full Name | Wright Family Practice |
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Speciality | Family Medicine |
Location | 299 E Pendleton Ave, Lapel, Indiana |
Authorized Official Name and Position | Stephen J Wright (M.D.) |
Authorized Official Contact | 7655343636 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wright Family Practice 299 E Pendleton Ave Bx 547 Lapel IN 46051-5546 Ph: (765) 534-3636 | Wright Family Practice 299 E Pendleton Ave Lapel IN 46051-5546 Ph: (765) 534-3636 |
NPI Number | 1437573664 |
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Provider Enumeration Date | 02/07/2014 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 5496988602 |
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Medicare Enrollment ID | O20140423001737 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437573664 | NPI | - | NPPES |
15D2075563 | Other | IN | CLIA |
201248190 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01028188B (Indiana) | Primary |
207Q00000X | Family Medicine | 71002634A (Indiana) | Secondary |
Provider Name | Troy A Abbott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689693889 PECOS PAC ID: 4587566773 Enrollment ID: I20040127000566 |
Provider Name | Stephen J Wright |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235143439 PECOS PAC ID: 7517949555 Enrollment ID: I20040603000916 |
Provider Name | Katherine Veronica Callahan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780766972 PECOS PAC ID: 1658440060 Enrollment ID: I20080527000144 |
Provider Name | John N Joven |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689676108 PECOS PAC ID: 8820991375 Enrollment ID: I20100813000734 |
Provider Name | Pallavi Reddy Muddasani Bhasyam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902503261 PECOS PAC ID: 6901279132 Enrollment ID: I20230308002090 |
Lapel Medical Arts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 N Main St, Lapel, IN 46051 Phone: 765-534-3127 Fax: 317-534-3022 |