| Alicia Diane Hensley, AGNP-C | |
|
8301 Harcourt Rd Ste 200, Indianapolis, IN 46260-2082 | |
| (317) 415-6600 | |
| (317) 415-6649 |
| Full Name | Alicia Diane Hensley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 8301 Harcourt Rd Ste 200, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346619715 | NPI | - | NPPES |
| 201331770 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28176948A (Indiana) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 71005725A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Witham Health Services | Lebanon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| My Mobile Md Llc | 1052617826 | 25 |
| Witham Memorial Hospital | 4082523170 | 89 |
| Entity Name | Witham Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402 |
| Entity Name | Pike Medical Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770689242 PECOS PAC ID: 1850495003 Enrollment ID: O20070328000668 |
| Entity Name | My Mobile Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225495716 PECOS PAC ID: 1052617826 Enrollment ID: O20160304001699 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Diane Hensley, AGNP-C Po Box 749495, Atlanta, GA 30374-9495 Ph: (855) 963-2100 | Alicia Diane Hensley, AGNP-C 8301 Harcourt Rd Ste 200, Indianapolis, IN 46260-2082 Ph: (317) 415-6600 |
Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516 | |
Tia Imhoff Mcgee, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-312-2204 | |
Kathleen L Lampert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227 Phone: 317-497-2300 | |
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806 | |
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100 | |
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617 | |
Samantha Lee Stalnaker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1919 E 52nd St, Indianapolis, IN 46205 Phone: 317-429-0120 Fax: 317-800-7730 |