| Lifes Journey Palliative Care | |
|
10241 E County Road 100 N Indianapolis IN 46234-9016 | |
| (812) 239-3771 | |
| (317) 561-6827 |
| Full Name | Lifes Journey Palliative Care |
|---|---|
| Speciality | Family Medicine |
| Location | 10241 E County Road 100 N, Indianapolis, Indiana |
| Authorized Official Name and Position | Robert D Wallace (MEMBER) |
| Authorized Official Contact | 8122393771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifes Journey Palliative Care 10241 E County Road 100 N Indianapolis IN 46234-9016 Ph: (812) 239-3771 | Lifes Journey Palliative Care 10241 E County Road 100 N Indianapolis IN 46234-9016 Ph: (812) 239-3771 |
| NPI Number | 1497417828 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 9638560139 |
|---|---|
| Medicare Enrollment ID | O20211216001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497417828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen M Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972580488 PECOS PAC ID: 6204865116 Enrollment ID: I20050811000196 |
| Provider Name | Laury M Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205343845 PECOS PAC ID: 1658641857 Enrollment ID: I20211216001734 |
| Provider Name | Chrissy Jo Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760011605 PECOS PAC ID: 5193181816 Enrollment ID: I20230522002507 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Midwest Center For Pelvic Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E 91st St Ste B, Indianapolis, IN 46240 Phone: 317-793-2819 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
The Health And Hospital Corporation Of Marion County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Creative Rehab Strategies Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Cadience Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5602 Caito Dr, Indianapolis, IN 46226 Phone: 901-235-2065 |