Medical Practice - Medicare Primary Care in Fortville, IN

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Medical Practice is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Fortville, Indiana. The current practice location for Medical Practice is 426 N Crystal Dr, Fortville, Indiana. For appointments, you can reach them via phone at (317) 743-0009. The mailing address for Medical Practice is 426 N Crystal Dr, Fortville, Indiana and phone number is (317) 743-0009.

Medical Practice is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1437622701. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (317) 743-0009.

Contact Information

Medical Practice
426 N Crystal Dr
Fortville
IN 46040-1688
(317) 743-0009
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMedical Practice
SpecialityClinic/Center
Location426 N Crystal Dr, Fortville, Indiana
Authorized Official Name and PositionTaris D Gonzalez (NURSE PRACTITIONER/OWNER)
Authorized Official Contact3177430009
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Medical Practice
426 N Crystal Dr
Fortville
IN 46040-1688

Ph: (317) 743-0009		Medical Practice
426 N Crystal Dr
Fortville
IN 46040-1688

Ph: (317) 743-0009

NPI Details:

NPI Number1437622701
Provider Enumeration Date01/09/2019
Last Update Date07/28/2026
Certification Date07/28/2026

Medicare PECOS Information:

Medicare PECOS PAC ID7113267022
Medicare Enrollment IDO20190312002841

Medical Identifiers

Medical identifiers for Medical Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437622701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care ()Primary
261QR1300XClinic/center - Rural Health ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medical Practice acts as a billing entity for following providers:
Provider NameTaris D Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821290743
PECOS PAC ID: 1153595491
Enrollment ID: I20111122000526

Reviews and Comments

Other Primary Care Clinics in Fortville, IN

Fortville Community Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 717 E Broadway St, Fortville, IN 46040
Phone: 317-621-9220    Fax: 317-621-9222
Workplace Services, LLC
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1776 W State Road 234 Ste 200, Fortville, IN 46040
Phone: 317-482-5000    Fax: 317-482-5005

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.