| 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 |
| Experience | 3 Years |
| Location | 655 Us Highway 31 S, Greenwood, 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 |
|---|---|---|---|
| 1912736638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71015582A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hancock Physician Network Llc | 8325952633 | 139 |
| Hancock Health Gateway Services Inc | 9436489234 | 18 |
| 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 | 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: Accepting Medicare Assignments 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: Not Enrolled in Medicare Practice Location: 609 Valley Lane Ct, Greenwood, IN 46142 Phone: 317-508-4985 |
Zachary Camden Grimes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 489 S State Road 135 Ste F, Greenwood, IN 46142 Phone: 317-887-7640 |
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: Medicare Enrolled Practice Location: 1007 Heatherwood Dr, Greenwood, IN 46143 Phone: 317-523-3846 |