| Abundant Health Family Medicine | |
|
1720 S Burlington Drive Muncie IN 47302-2771 | |
| (765) 216-7620 | |
| Not Available |
| Full Name | Abundant Health Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1720 S Burlington Drive, Muncie, Indiana |
| Authorized Official Name and Position | Brian Lee Lumpkin (MANAGING MEMBER) |
| Authorized Official Contact | 7652167620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Health Family Medicine 1720 S Burlington Drive Muncie IN 47302-2771 Ph: (765) 216-7620 | Abundant Health Family Medicine 1720 S Burlington Drive Muncie IN 47302-2771 Ph: (765) 216-7620 |
| NPI Number | 1396094629 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 07/12/2013 |
| Medicare PECOS PAC ID | 4587804554 |
|---|---|
| Medicare Enrollment ID | O20130716000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396094629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pamela J Carothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669521415 PECOS PAC ID: 3072553460 Enrollment ID: I20050504001244 |
| Provider Name | Brian L Lumpkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710976527 PECOS PAC ID: 1456391606 Enrollment ID: I20050506000134 |
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