| Jason R Kimble, | |
|
120 W Mckenzie Rd Ste F, Greenfield, IN 46140-1072 | |
| (317) 468-4200 | |
| Not Available |
| Full Name | Jason R Kimble |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 120 W Mckenzie Rd Ste F, Greenfield, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205664109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34010801A (Indiana) | Primary |
| Entity Name | Hancock Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806470 PECOS PAC ID: 8325952633 Enrollment ID: O20040130000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R Kimble, 11828 Tapp Dr, Indianapolis, IN 46229-9533 Ph: (317) 502-9412 | Jason R Kimble, 120 W Mckenzie Rd Ste F, Greenfield, IN 46140-1072 Ph: (317) 468-4200 |
Jennifer S Luchtefeld, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W Mckenzie Rd Ste F, Greenfield, IN 46140 Phone: 317-468-6200 | |
Carol Mathew, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 704 N State St, Greenfield, IN 46140 Phone: 317-643-2346 | |
Katharine Dyan Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 W Mckenzie Rd Ste F, Greenfield, IN 46140 Phone: 317-468-6200 Fax: 317-468-6201 | |
Katelin Patterson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 704 N State St Ste A, Greenfield, IN 46140 Phone: 317-316-9925 | |
Erika R Bruggeman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W Mckenzie Rd Ste F, Greenfield, IN 46140 Phone: 317-468-6200 Fax: 317-468-6201 | |
Ashley Nicole Thomas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 721 Rose Ln, Greenfield, IN 46140 Phone: 317-416-8236 |