| Mr Jared Mitchell Broschart, MSW, LCSW | |
|
1928 S Dan Jones Rd, Avon, IN 46123-6678 | |
| (317) 854-8265 | |
| (877) 895-7698 |
| Full Name | Mr Jared Mitchell Broschart |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1928 S Dan Jones Rd, Avon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427553452 | NPI | - | NPPES |
| 34008077A | Other | IN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34008077A (Indiana) | Primary |
| Entity Name | Indiana Be Well Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588361067 PECOS PAC ID: 3779937552 Enrollment ID: O20230927003220 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jared Mitchell Broschart, MSW, LCSW 220 N Meridian St Apt 806, Indianapolis, IN 46204-2373 Ph: (317) 966-2372 | Mr Jared Mitchell Broschart, MSW, LCSW 1928 S Dan Jones Rd, Avon, IN 46123-6678 Ph: (317) 854-8265 |
Chloe Ellese Schroeter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6655 East Us Hwy 36, Avon, IN 46123 Phone: 888-714-1927 | |
Melanie Gibbs, MSW,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 216-468-5000 | |
Mr. Chris C Hamm, LCSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 317-272-3334 Fax: 317-272-3331 | |
Christina Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7315 Autumn Ct, Avon, IN 46123 Phone: 317-627-2483 | |
Madelyn Taylor Hardwick, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 812-247-8010 | |
M Dawn Newman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6655 E U S 36, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-3331 | |
Bryon L Ross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-0807 |