Reed Family Medicine Llc | |
3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 | |
(765) 588-6404 | |
Not Available |
Full Name | Reed Family Medicine Llc |
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Speciality | Family Medicine |
Location | 3930 Mezzanine Dr Ste B, Lafayette, Indiana |
Authorized Official Name and Position | Ian E Reed (CO-OWNER) |
Authorized Official Contact | 2199649818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reed Family Medicine Llc 3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 Ph: (765) 588-6404 | Reed Family Medicine Llc 3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 Ph: (765) 588-6404 |
NPI Number | 1811715964 |
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Provider Enumeration Date | 09/27/2024 |
Last Update Date | 12/09/2024 |
Medicare PECOS PAC ID | 2961931613 |
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Medicare Enrollment ID | O20250124000372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811715964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Darren R Reed |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629277389 PECOS PAC ID: 2264564269 Enrollment ID: I20100709000059 |
Provider Name | Ian E Reed |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1003336561 PECOS PAC ID: 2668741414 Enrollment ID: I20200326003074 |
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