| Mrs Jody Lynn Root, FNP-BC | |
|
10858 E State Road 54, Suite #1, Bloomfield, IN 47424-6069 | |
| (812) 400-0067 | |
| (812) 400-0067 |
| Full Name | Mrs Jody Lynn Root |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 10858 E State Road 54, Bloomfield, 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 |
|---|---|---|---|
| 1881622900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71002130A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Monroe Hospital | Bloomington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Westgate Medical Llc | 3274846381 | 2 |
| Entity Name | Southern Indiana Family Practice Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770626152 PECOS PAC ID: 1557467362 Enrollment ID: O20070510000310 |
| Entity Name | Michael S Miller Do Facos Cws Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316072242 PECOS PAC ID: 6406935733 Enrollment ID: O20080512000280 |
| Entity Name | Westgate Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679971550 PECOS PAC ID: 3274846381 Enrollment ID: O20150720000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jody Lynn Root, FNP-BC 10858 E State Road 54, Suite #1, Bloomfield, IN 47424-6069 Ph: (812) 400-0067 | Mrs Jody Lynn Root, FNP-BC 10858 E State Road 54, Suite #1, Bloomfield, IN 47424-6069 Ph: (812) 400-0067 |
Averi Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 N Judge St, Bloomfield, IN 47424 Phone: 812-847-4481 Fax: 844-658-7526 |