| Brenna Clark, PA-C | |
|
1125 W Jefferson St, Franklin, IN 46131-2140 | |
| (317) 736-3485 | |
| Not Available |
| Full Name | Brenna Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1125 W Jefferson St, Franklin, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285016469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10001846A (Indiana) | Primary |
| Entity Name | Johnson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585 |
| Entity Name | Lafayette Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891741641 PECOS PAC ID: 9931172863 Enrollment ID: O20040818000317 |
| Entity Name | American Current Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013194455 PECOS PAC ID: 9739260019 Enrollment ID: O20080624000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenna Clark, PA-C 1125 W Jefferson St, Franklin, IN 46131-2140 Ph: Not Available | Brenna Clark, PA-C 1125 W Jefferson St, Franklin, IN 46131-2140 Ph: (317) 736-3485 |
Amy Lynn Purol, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1125 W Jefferson St, Franklin, IN 46131 Phone: 317-736-2601 |
Thomas Paul Meehan, PHD, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1125 W Jefferson St, Franklin, IN 46131 Phone: 317-736-2600 |
Jenna Marie Laugle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1155 W Jefferson St Ste 101, Franklin, IN 46131 Phone: 317-736-6133 Fax: 317-736-6403 |
John Robert Gudeman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 990 E State Road 44, Franklin, IN 46131 Phone: 317-736-8474 |
Abby J Clemens, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 N Milford Dr, Franklin, IN 46131 Phone: 317-739-4848 Fax: 317-878-2355 |
Sydney Logsdon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 970 N Morton St, Franklin, IN 46131 Phone: 317-494-4320 |
Sierra Corbin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Branigin Blvd, Franklin, IN 46131 Phone: 800-852-0232 |