| Jentry E O'daniel, PA | |
|
13121 Olio Rd Ste 300, Fishers, IN 46037-7240 | |
| (317) 621-1310 | |
| Not Available |
| Full Name | Jentry E O'daniel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 13121 Olio Rd Ste 300, Fishers, 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 |
|---|---|---|---|
| 1720463532 | NPI | - | NPPES |
| 300003519 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TC391 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | 10002254A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marion General Hospital | Marion, IN | Hospital |
| Community Hospital North | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1569 |
| Community Physician Network Urgent Care Llc | 1052819869 | 80 |
| Marion General Hospital | 9133023625 | 115 |
| Entity Name | Marion General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483 |
| Entity Name | Emergency Professionals of Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Inphynet Primary Care Physicians Midwest, S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528090610 PECOS PAC ID: 6507808946 Enrollment ID: O20050525001352 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508269200 PECOS PAC ID: 5597867184 Enrollment ID: O20090527000129 |
| Entity Name | Community Physicians of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Entity Name | Community Physician Network Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487444782 PECOS PAC ID: 1052819869 Enrollment ID: O20250811003707 |
| Mailing Address | Practice Location Address |
|---|---|
| Jentry E O'daniel, PA 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: Not Available | Jentry E O'daniel, PA 13121 Olio Rd Ste 300, Fishers, IN 46037-7240 Ph: (317) 621-1310 |
Kaylyn Alisha-christina Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11700 Olio Rd, Fishers, IN 46037 Phone: 800-852-0232 |
Ms. Kate Marie Vanpoppel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10995 Allisonville Rd Ste 102, Fishers, IN 46038 Phone: 317-915-8110 |
Kathryn E Mclaughlin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13050 Parkside Dr Ste 101, Fishers, IN 46038 Phone: 317-621-9000 |
Marilyn D Gately, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13100 E 136th St, Ste 1200, Fishers, IN 46037 Phone: 317-678-3100 Fax: 317-678-3108 |
Tracie Lynn Helmbrecht, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13121 Olio Rd Ste 300, Fishers, IN 46037 Phone: 317-621-1300 |
Mr. Sean J Sreniawski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10995 Allisonville Rd Ste 102, Fishers, IN 46038 Phone: 317-915-8110 |
Cameron R Fails, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14300 E 138th Ste B, Fishers, IN 46037 Phone: 800-622-6575 |