| Serenity Clinic | |
|
515 N Bradner Ave Marion IN 46952-2449 | |
| (765) 664-8000 | |
| (877) 731-2066 |
| Full Name | Serenity Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 515 N Bradner Ave, Marion, Indiana |
| Authorized Official Name and Position | Trina L Greenwald (OWNER/PRACTITIONER) |
| Authorized Official Contact | 7656648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Clinic 515 N Bradner Ave Marion IN 46952-2449 Ph: (765) 664-8000 | Serenity Clinic 515 N Bradner Ave Marion IN 46952-2449 Ph: (765) 664-8000 |
| NPI Number | 1245574516 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 11/24/2014 |
| Medicare PECOS PAC ID | 6901043520 |
|---|---|
| Medicare Enrollment ID | O20130517000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245574516 | NPI | - | NPPES |
| 200844580 | Medicaid | IN |
| Provider Name | Trina L Greenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548298409 PECOS PAC ID: 7719081371 Enrollment ID: I20070409000548 |
| Provider Name | Annalise K Michaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245840081 PECOS PAC ID: 4587081245 Enrollment ID: I20200818002973 |
| Provider Name | Andrea N Mendenhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982390993 PECOS PAC ID: 5294196242 Enrollment ID: I20230807002891 |
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