| Jacob Galloway, | |
|
6335 S East St, Indianapolis, IN 46227-7112 | |
| (317) 783-7474 | |
| Not Available |
| Full Name | Jacob Galloway |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6335 S East St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861897381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001745A (Indiana) | Primary |
| Entity Name | Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710932736 PECOS PAC ID: 0840184164 Enrollment ID: O20040209000976 |
| Entity Name | Clarksville Emergency Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Galloway, 5216 N 300 E, La Porte, IN 46350-8949 Ph: (219) 877-4805 | Jacob Galloway, 6335 S East St, Indianapolis, IN 46227-7112 Ph: (317) 783-7474 |
James Braden Millward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd Mpc2#330, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 |
Cortnie N Yoder, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1402 E County Line Rd, Indianapolis, IN 46227 Phone: 317-887-7805 |
Kaitlin Eileen Ziedonis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5330 E Stop 11 Rd, Indianapolis, IN 46237 Phone: 317-893-1900 Fax: 317-893-1901 |
Olivia Cecile Cabanban, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7525 E 82nd St Ste A, Indianapolis, IN 46256 Phone: 317-621-1670 |
Rachel Hayden, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8038 Claridge Rd, Indianapolis, IN 46260 Phone: 317-518-8562 |
Amber Seaman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-338-2345 |
Allyson Nugent, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1050 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-274-7447 |