| Misfits Medicine LLC | |
|
4282 Lamott Rd Centerville IN 47330-9647 | |
| (765) 277-3951 | |
| Not Available |
| Full Name | Misfits Medicine LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4282 Lamott Rd, Centerville, Indiana |
| Authorized Official Name and Position | Samantha Theresa Suttles (NP) |
| Authorized Official Contact | 7652773951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Misfits Medicine LLC 4282 Lamott Rd Centerville IN 47330-9647 Ph: (765) 277-3951 | Misfits Medicine LLC 4282 Lamott Rd Centerville IN 47330-9647 Ph: (765) 277-3951 |
| NPI Number | 1740146612 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 03/02/2026 |
| Certification Date | 03/02/2026 |
| Medicare PECOS PAC ID | 8921580754 |
|---|---|
| Medicare Enrollment ID | O20260302003181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740146612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Samantha T Suttles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205674058 PECOS PAC ID: 7517499155 Enrollment ID: I20241021001530 |
Anthony Kane MD LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5768 College Corner Rd, Centerville, IN 47330 Phone: 845-202-9787 |