| Miranda Clark, FNP-C | |
|
333 E County Line Rd Ste B, Greenwood, IN 46143-1080 | |
| (317) 497-6371 | |
| Not Available |
| Full Name | Miranda Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 333 E County Line Rd Ste B, Greenwood, 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 |
|---|---|---|---|
| 1538899331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71012707A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital South | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1569 |
| 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 | Little Clinic of in LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558791384 PECOS PAC ID: 7719118447 Enrollment ID: O20140324000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Clark, FNP-C 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: Not Available | Miranda Clark, FNP-C 333 E County Line Rd Ste B, Greenwood, IN 46143-1080 Ph: (317) 497-6371 |
Marilyn Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2867 Bloomsbury S, Greenwood, IN 46143 Phone: 317-402-6341 |
Cheryl Lynn Smitherman, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515 |
Patricia Justine Irvin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Us Highway 31 S, Greenwood, IN 46143 Phone: 317-883-0567 |
Laura Walradth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 609 Valley Lane Ct, Greenwood, IN 46142 Phone: 317-508-4985 |
Zachary Camden Grimes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 489 S State Road 135 Ste F, Greenwood, IN 46142 Phone: 317-887-7640 |
Meagan Lee Mcdurfee, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 Endress Pl Suite A, Greenwood, IN 46143 Phone: 317-530-1811 Fax: 317-963-1621 |
Anthony Couch, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1007 Heatherwood Dr, Greenwood, IN 46143 Phone: 317-523-3846 |