| Gregory Pearson Wynne, DO | |
|
9669 E 146th St Ste 330, Noblesville, IN 46060-5006 | |
| (317) 355-2663 | |
| Not Available |
| Full Name | Gregory Pearson Wynne |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 9669 E 146th St Ste 330, Noblesville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558725937 | NPI | - | NPPES |
| Q00387672 | Other | IN | RAILROAD MEDICARE |
| 266180L93 | Other | MEDICARE | |
| 300065787 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 02006722A (Indiana) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 02006722A (Indiana) | Primary |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Pearson Wynne, DO 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-1647 | Gregory Pearson Wynne, DO 9669 E 146th St Ste 330, Noblesville, IN 46060-5006 Ph: (317) 355-2663 |
Andrew S Malin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 Westfield Rd Ste C, Noblesville, IN 46060 Phone: 317-770-3777 Fax: 317-770-1727 | |
Peter Hogg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14065 Borgwarner Dr, Noblesville, IN 46060 Phone: 317-620-0232 |