| Amina Boudaia, | |
|
655 Us Highway 31 S, Greenwood, IN 46142-3061 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Amina Boudaia |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 655 Us Highway 31 S, Greenwood, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912736638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71015582A (Indiana) | Primary |
| Entity Name | Hancock Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806470 PECOS PAC ID: 8325952633 Enrollment ID: O20040130000777 |
| Entity Name | Minuteclinic Diagnostics Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830 |
| Entity Name | Allergy Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946390 PECOS PAC ID: 7113822420 Enrollment ID: O20130117000192 |
| Entity Name | Hancock Health Gateway Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649749052 PECOS PAC ID: 9436489234 Enrollment ID: O20190920001858 |
| Mailing Address | Practice Location Address |
|---|---|
| Amina Boudaia, Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Amina Boudaia, 655 Us Highway 31 S, Greenwood, IN 46142-3061 Ph: (866) 389-2727 |
Marilyn Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2867 Bloomsbury S, Greenwood, IN 46143 Phone: 317-402-6341 | |
Cheryl Lynn Smitherman, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515 | |
Patricia Justine Irvin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Us Highway 31 S, Greenwood, IN 46143 Phone: 317-883-0567 | |
Laura Walradth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Valley Lane Ct, Greenwood, IN 46142 Phone: 317-508-4985 | |
Meagan Lee Mcdurfee, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 Endress Pl Suite A, Greenwood, IN 46143 Phone: 317-530-1811 Fax: 317-963-1621 | |
Anthony Couch, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Heatherwood Dr, Greenwood, IN 46143 Phone: 317-523-3846 | |
Haleigh Ann Tharp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 |