| Academy Primary Care LLC | |
|
107 N State Road 135 Ste 103 Greenwood IN 46142-1352 | |
| (317) 550-4510 | |
| (317) 886-4550 |
| Full Name | Academy Primary Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 107 N State Road 135, Greenwood, Indiana |
| Authorized Official Name and Position | Shelley R Stiner (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3175504510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy Primary Care LLC 107 N State Road 135 Ste 103 Greenwood IN 46142-1352 Ph: (317) 550-4510 | Academy Primary Care LLC 107 N State Road 135 Ste 103 Greenwood IN 46142-1352 Ph: (317) 550-4510 |
| NPI Number | 1730895517 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 1658730932 |
|---|---|
| Medicare Enrollment ID | O20230705001053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730895517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Shelley R Stiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104095033 PECOS PAC ID: 7911073028 Enrollment ID: I20080912000573 |
Center Grove Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2943 S Morgantown Rd, Greenwood, IN 46143 Phone: 317-882-1233 |
Meridian Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 W Stones Crossing Rd Ste 330, Greenwood, IN 46143 Phone: 765-288-1928 |
County Line Medical Pavilion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E County Line Rd, Suite B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 |
Greenwood Group Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 281-429-8526 |
Premier Family Medicine, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 747 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-789-9600 Fax: 317-789-0600 |
Mohan Genetic Lab LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Homestead Ave Unit 204, Greenwood, IN 46143 Phone: 717-268-9132 Fax: 717-268-9132 |