| Crystal Hackett, NP-C | |
|
679 E County Line Rd, Greenwood, IN 46143-1049 | |
| (317) 859-7222 | |
| (317) 859-7220 |
| Full Name | Crystal Hackett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 679 E County Line Rd, 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 |
|---|---|---|---|
| 1760021661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71009900A (Indiana) | Primary |
| Entity Name | Urology of Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487680518 PECOS PAC ID: 7517870009 Enrollment ID: O20031111000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Hackett, NP-C 679 E County Line Rd, Greenwood, IN 46143-1049 Ph: (317) 807-1266 | Crystal Hackett, NP-C 679 E County Line Rd, Greenwood, IN 46143-1049 Ph: (317) 859-7222 |
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 |