| Elite Healthcare Of Muncie Inc. | |
|
3417 W Bethel Ave Ste A Muncie IN 47304-7504 | |
| (765) 281-8883 | |
| (765) 281-8884 |
| Full Name | Elite Healthcare Of Muncie Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3417 W Bethel Ave Ste A, Muncie, Indiana |
| Authorized Official Name and Position | David Segraves (OWNER) |
| Authorized Official Contact | 7652818883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Healthcare Of Muncie Inc. 3417 W Bethel Ave Ste A Muncie IN 47304-7504 Ph: (765) 281-8883 | Elite Healthcare Of Muncie Inc. 3417 W Bethel Ave Ste A Muncie IN 47304-7504 Ph: (765) 281-8883 |
| NPI Number | 1700217189 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 6103059316 |
|---|---|
| Medicare Enrollment ID | O20140423001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700217189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01027232A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71003894B (Indiana) | Primary |
| Provider Name | David R Segraves |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679555676 PECOS PAC ID: 2961468681 Enrollment ID: I20041204000266 |
| Provider Name | Christopher Keith Whiteman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003874272 PECOS PAC ID: 2466409347 Enrollment ID: I20050402000011 |
| Provider Name | Susan M Adams-hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043268212 PECOS PAC ID: 3678585668 Enrollment ID: I20060609000183 |
| Provider Name | John C Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508880642 PECOS PAC ID: 0547322422 Enrollment ID: I20081231000379 |
| Provider Name | Audre N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255772430 PECOS PAC ID: 8921234261 Enrollment ID: I20131115000594 |
| Provider Name | Nancy M Rodecap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346681301 PECOS PAC ID: 3274762547 Enrollment ID: I20140207000297 |
| Provider Name | Amanda N Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770969412 PECOS PAC ID: 7315257086 Enrollment ID: I20151109001679 |
| Provider Name | Paula M Jones |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033396106 PECOS PAC ID: 9830172162 Enrollment ID: I20151229001170 |
| Provider Name | Kathryn Mae Gilreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447368899 PECOS PAC ID: 5395790141 Enrollment ID: I20160225002262 |
| Provider Name | Kristin M Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831579648 PECOS PAC ID: 6204134729 Enrollment ID: I20160418001370 |
| Provider Name | Krysta L Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992291264 PECOS PAC ID: 0941559983 Enrollment ID: I20180823002641 |
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Open Door Health Services Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1804-1806 West Royale Dr, Muncie, IN 47304 Phone: 765-286-7000 | |
Meridian Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 W Jackson St, Muncie, IN 47303 Phone: 765-288-1928 Fax: 765-741-0362 | |
Iu Health Workplace Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Tillotson Ave, Muncie, IN 47304 Phone: 765-747-3888 | |
Open Door Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 W White River Blvd, Muncie, IN 47303 Phone: 765-286-7000 | |
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