Glenda Janice Grovenberry, | |
11900 N Penn St Ste 104, Carmel, IN 46032-4694 | |
(317) 740-2131 | |
(317) 663-2423 |
Full Name | Glenda Janice Grovenberry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 11900 N Penn St Ste 104, Carmel, 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 |
---|---|---|---|
1295343689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 28138340A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Behavioral Health Llc | 4587834874 | 62 |
Entity Name | Midwest Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118 |
Mailing Address | Practice Location Address |
---|---|
Glenda Janice Grovenberry, 7339 Quartz Rock Rd, Indianapolis, IN 46236-9307 Ph: (317) 213-3924 | Glenda Janice Grovenberry, 11900 N Penn St Ste 104, Carmel, IN 46032-4694 Ph: (317) 740-2131 |
Mrs. Heather M Caul, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13345 Illinois St, Carmel, IN 46032 Phone: 317-396-1300 Fax: 317-352-3417 | |
Jennifer M Spors, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-688-2000 | |
Gaelle Maviluka Bulabula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1217 S Rangeline Rd, Carmel, IN 46032 Phone: 317-846-4818 | |
Mrs. Margaret K Vanderveen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12289 Hancock St Ste 34, Carmel, IN 46032 Phone: 317-815-8950 Fax: 317-815-8951 | |
Taylor K Schub, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13420 N Meridian St Ste 400, Carmel, IN 46032 Phone: 317-573-7050 Fax: 317-573-7098 | |
Kaitlyn Nicole Dervenis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5889 Sandalwood Dr, Carmel, IN 46033 Phone: 317-363-9788 | |
Lesley L Leggington, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12175 Silvara Ct, Carmel, IN 46032 Phone: 317-370-6656 |