| Kenneth Patrick O'connor, PA-C | |
|
555 E County Line Rd, Greenwood, IN 46143-1063 | |
| (317) 497-2130 | |
| (317) 957-2730 |
| Full Name | Kenneth Patrick O'connor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 555 E County Line Rd, Greenwood, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790433043 | NPI | - | NPPES |
| 300074048 | Medicaid | IN | |
| 264430H05 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003872A (Indiana) | Primary |
| 363A00000X | Physician Assistant | 99114487A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unity Medical And Surgical Hospital | Mishawaka, IN | Hospital |
| La Porte Hospital | La porte, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The South Bend Clinic Llc | 3779577937 | 167 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Patrick O'connor, PA-C 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Kenneth Patrick O'connor, PA-C 555 E County Line Rd, Greenwood, IN 46143-1063 Ph: (317) 497-2130 |
Hannah Rae Rudolph, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 S State Road 135 Ste 250, Greenwood, IN 46143 Phone: 317-300-1788 Fax: 317-743-8103 | |
Grace Vicars, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515 | |
Erin Michelle Montgomery, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515 | |
Mr. Michael James Summitt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 747 E County Line Rd, Ste. B, Greenwood, IN 46143 Phone: 317-789-9600 | |
Teddi Byram, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 489 S State Road 135 Ste F, Greenwood, IN 46142 Phone: 317-887-7640 | |
Cynthia Louanne Kirkman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd Ste 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869 | |
Kelly L Foutch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 489 S State Road 135 Ste F, Greenwood, IN 46142 Phone: 317-887-7640 |