| Kyle Merrick, PMHNP-BC | |
|
1051 Southfield Dr, Plainfield, IN 46168-2955 | |
| (844) 991-9900 | |
| (317) 406-8518 |
| Full Name | Kyle Merrick |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1051 Southfield Dr, Plainfield, 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 |
|---|---|---|---|
| 1851076939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71014013A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana Behavioral Innovations Llc | 6608286356 | 12 |
| Valle Vista Llc | 8224948930 | 10 |
| Entity Name | Valle Vista LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699722405 PECOS PAC ID: 8224948930 Enrollment ID: O20091224000024 |
| Entity Name | Indiana Behavioral Innovations LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922614825 PECOS PAC ID: 6608286356 Enrollment ID: O20210108000543 |
| Entity Name | Odyssey Mental Health Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104592617 PECOS PAC ID: 9739584897 Enrollment ID: O20210827000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Merrick, PMHNP-BC 1271 White Ash Dr, Greenwood, IN 46143-7971 Ph: (317) 748-8651 | Kyle Merrick, PMHNP-BC 1051 Southfield Dr, Plainfield, IN 46168-2955 Ph: (844) 991-9900 |
Bolaji Soji Ojo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 Moon Rd, Plainfield, IN 46168 Phone: 317-839-2513 |
Kimberly Eads, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Southfield Dr Ste 1240, Plainfield, IN 46168 Phone: 317-837-6082 |
Michelle Rae Modlin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3912 Clarks Creek Rd Ste A, Plainfield, IN 46168 Phone: 463-255-0134 |
Janet R Perkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Southfield Dr Ste 1140, Plainfield, IN 46168 Phone: 317-839-7200 Fax: 317-837-7926 |
Mrs. Mary Charlene Salmon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1930 E Main St, Plainfield, IN 46168 Phone: 317-838-3596 |
Jaspreet Dhaliwal, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Southfield Dr Ste 1140, Plainfield, IN 46168 Phone: 317-939-7200 |
Mrs. Jamie Lee Scotton, FNP - C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Southfield Dr Ste 1140, Plainfield, IN 46168 Phone: 317-839-7200 Fax: 317-837-7926 |