| Vibrant Vitality Medical Wellness Center Pc | |
|
509 Sheridan Rd Noblesville IN 46060-1317 | |
| (317) 678-6402 | |
| (317) 678-6408 |
| Full Name | Vibrant Vitality Medical Wellness Center Pc |
|---|---|
| Speciality | General Practice |
| Location | 509 Sheridan Rd, Noblesville, Indiana |
| Authorized Official Name and Position | Heather Nicole Engle (ADMINISTRATOR) |
| Authorized Official Contact | 3176786402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Vitality Medical Wellness Center Pc 509 Sheridan Rd Noblesville IN 46060-1317 Ph: (317) 678-6402 | Vibrant Vitality Medical Wellness Center Pc 509 Sheridan Rd Noblesville IN 46060-1317 Ph: (317) 678-6402 |
| NPI Number | 1265891279 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 6002106093 |
|---|---|
| Medicare Enrollment ID | O20160603000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265891279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 50005071A (Indiana) | Primary |
| Provider Name | Ted T Lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982691671 PECOS PAC ID: 4183684855 Enrollment ID: I20041016000228 |
| Provider Name | Nicholle M Hise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023472735 PECOS PAC ID: 5193024818 Enrollment ID: I20160502002230 |
| Provider Name | Scott F Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449273 PECOS PAC ID: 1759661630 Enrollment ID: I20161212000691 |
| Provider Name | Sei Young V Kwak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689126674 PECOS PAC ID: 4587949946 Enrollment ID: I20170327001574 |
| Provider Name | Rebecca K Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275072811 PECOS PAC ID: 6406133958 Enrollment ID: I20170510001270 |
| Provider Name | Grace Ochs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558079897 PECOS PAC ID: 8729458955 Enrollment ID: I20230105000833 |
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Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13975 Borg Warner Drive, Noblesville, IN 46060 Phone: 765-778-5900 Fax: 765-778-5905 | |
Perryman Rheumatology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5540 Pebble Village Ln Ste 200, Noblesville, IN 46062 Phone: 317-900-4060 Fax: 317-900-4698 | |
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