| Premier Family Medicine, Llc | |
|
747 E County Line Rd Ste B Greenwood IN 46143-1082 | |
| (317) 789-9600 | |
| (317) 789-0600 |
| Full Name | Premier Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 747 E County Line Rd Ste B, Greenwood, Indiana |
| Authorized Official Name and Position | Michael E Yoder (MANAGING PARTNER) |
| Authorized Official Contact | 3174727812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medicine, Llc 747 E County Line Rd Ste B Greenwood IN 46143-1082 Ph: (317) 789-9600 | Premier Family Medicine, Llc 747 E County Line Rd Ste B Greenwood IN 46143-1082 Ph: (317) 789-9600 |
| NPI Number | 1093145427 |
|---|---|
| Provider Enumeration Date | 11/21/2013 |
| Last Update Date | 03/07/2018 |
| Medicare PECOS PAC ID | 9638308422 |
|---|---|
| Medicare Enrollment ID | O20140127000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093145427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Koshy Oommen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497844278 PECOS PAC ID: 3375528607 Enrollment ID: I20040622000077 |
| Provider Name | Mary C Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346217312 PECOS PAC ID: 8527037837 Enrollment ID: I20041001000829 |
| Provider Name | Keith A Priddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235676099 PECOS PAC ID: 0941560577 Enrollment ID: I20180130002317 |
Community Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2943 S Morgantown Rd, Greenwood, IN 46143 Phone: 317-882-1233 | |
County Line Medical Pavilion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E County Line Rd, Suite B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Greenwood Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 281-429-8526 | |
Greenwood Family Care A.s.a.p. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 Stonegate Dr, Greenwood, IN 46142 Phone: 317-215-4367 Fax: 317-888-4706 | |
Southside Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 N Madison Ave, Greenwood, IN 46142 Phone: 317-887-7624 Fax: 317-887-7625 | |
Iu Health Workplace Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2943 S Morgantown Rd, Greenwood, IN 46143 Phone: 317-882-1233 |