| Epic Clinical Partners | |
|
7411 Heathrow Way Ste C Indianapolis IN 46241-9527 | |
| (317) 561-0229 | |
| (317) 203-0889 |
| Full Name | Epic Clinical Partners |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 7411 Heathrow Way Ste C, Indianapolis, Indiana |
| Authorized Official Name and Position | Kyra Cooke (NURSE PRACTITIONER) |
| Authorized Official Contact | 3175610229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Clinical Partners 7411 Heathrow Way Ste C Indianapolis IN 46241-9527 Ph: (317) 561-0229 | Epic Clinical Partners 7411 Heathrow Way Ste C Indianapolis IN 46241-9527 Ph: (317) 561-0229 |
| NPI Number | 1558041061 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 09/22/2026 |
| Certification Date | 09/22/2026 |
| Medicare PECOS PAC ID | 6608302872 |
|---|---|
| Medicare Enrollment ID | O20241211001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558041061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Primary |
| Provider Name | Mandy Vires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023707171 PECOS PAC ID: 6709246366 Enrollment ID: I20230714002032 |
| Provider Name | Kyra Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023619947 PECOS PAC ID: 5597908806 Enrollment ID: I20240309000324 |
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