| Jeniffer Forson, | |
| 3611 S Reed Rd Ste 108, Kokomo, IN 46902-3828 | |
| (765) 776-3700 | |
| Not Available | 
| Full Name | Jeniffer Forson | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 3611 S Reed Rd Ste 108, Kokomo, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043747462 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 01087033A (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 | 
| Entity Name | Jane Pauley Community Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730488818 PECOS PAC ID: 7618152729 Enrollment ID: O20150223000139 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeniffer Forson, 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Jeniffer Forson, 3611 S Reed Rd Ste 108, Kokomo, IN 46902-3828 Ph: (765) 776-3700 | 
| Dr. Samatha Madhavarapu, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 | |
| Jared A Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 765-236-8282 | |
| Dana Y Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-583-3332 Fax: 317-583-2805 | |
| Dr. Benjamin F Weston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2130 W Sycamore St Ste 260, Kokomo, IN 46901 Phone: 765-236-8457 | |
| Mohanjit Gill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3506 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-6700 Fax: 765-864-6703 | |
| Donita Roettcher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700 |