| Neurocare Llc | |
|
2451 Intelliplex Dr Ste 250 Shelbyville IN 46176-8581 | |
| (317) 705-2000 | |
| (317) 705-2049 |
| Full Name | Neurocare Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2451 Intelliplex Dr Ste 250, Shelbyville, Indiana |
| Authorized Official Name and Position | Gust Thomas Spenos (OWNER) |
| Authorized Official Contact | 3177052000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocare Llc 30 W Rampart St Ste 230 Shelbyville IN 46176-8897 Ph: (317) 705-2000 | Neurocare Llc 2451 Intelliplex Dr Ste 250 Shelbyville IN 46176-8581 Ph: (317) 705-2000 |
| NPI Number | 1821035718 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/20/2020 |
| Medicare PECOS PAC ID | 2365454733 |
|---|---|
| Medicare Enrollment ID | O20060629000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821035718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Nora J Spenos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306244421 PECOS PAC ID: 9133131519 Enrollment ID: I20150113000691 |
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