Angela Young, | |
1600 23rd St # 100, Bedford, IN 47421-4704 | |
(812) 804-3400 | |
(812) 954-0465 |
Full Name | Angela Young |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 1600 23rd St # 100, Bedford, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730960428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | F07231307 (Indiana) | Primary |
Entity Name | Indiana Community Health Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093392870 PECOS PAC ID: 3971908252 Enrollment ID: O20210825000933 |
Mailing Address | Practice Location Address |
---|---|
Angela Young, 3644 N Ramsgate Rd, Martinsville, IN 46151-5969 Ph: () - | Angela Young, 1600 23rd St # 100, Bedford, IN 47421-4704 Ph: (812) 804-3400 |
Mr. Tyler Lee White, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Stephanie Ann Mason, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331 | |
Jamie R Bohnke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Mrs. Alyssa Brooke Kellams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2418 16th St, Bedford, IN 47421 Phone: 812-508-8683 | |
Barbara Deich, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-5352 Fax: 812-275-1374 | |
Mrs. Amanda Sue Bowman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Cathern Amanda Pruett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 |