| 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 | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790433043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003872A (Indiana) | Primary |
| 363A00000X | Physician Assistant | 99114487A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unity Physicians Hospital | Mishawaka, IN | Hospital |
| Entity Name | The South Bend Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Patrick O'connor, PA-C 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: Not Available | 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 |