| Careline Pin100 Llc | |
|
600 E Carmel Dr Ste 144 Carmel IN 46032-3053 | |
| (517) 212-2008 | |
| Not Available |
| Full Name | Careline Pin100 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 E Carmel Dr Ste 144, Carmel, Indiana |
| Authorized Official Name and Position | Joseph Donald Mead (AUTHORIZED SIGNOR) |
| Authorized Official Contact | 5178884000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careline Pin100 Llc 103 S Jackson St Jackson MI 49201-2211 Ph: (517) 212-2006 | Careline Pin100 Llc 600 E Carmel Dr Ste 144 Carmel IN 46032-3053 Ph: (517) 212-2008 |
| NPI Number | 1205506862 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Medicare PECOS PAC ID | 6507236585 |
|---|---|
| Medicare Enrollment ID | O20230109001922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205506862 | NPI | - | NPPES |
| Provider Name | Ellen W Kaehr |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336433432 PECOS PAC ID: 9537309588 Enrollment ID: I20160812000440 |
| Provider Name | Ashlee R Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811682 PECOS PAC ID: 4183043755 Enrollment ID: I20211012002358 |
| Provider Name | Nicholas Maximillian Kielhorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821240128 PECOS PAC ID: 0244425403 Enrollment ID: I20230109002034 |
| Provider Name | Kaitlin Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871366831 PECOS PAC ID: 2769832112 Enrollment ID: I20231227001167 |
| Provider Name | Jeremy R Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164731535 PECOS PAC ID: 2163602863 Enrollment ID: I20240226003327 |
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