Active Athlete Sports Medicine Psc - Medicare Primary Care in New Albany, IN

Active Athlete Sports Medicine Psc is a medicare enrolled primary clinic (Family Medicine - Sports Medicine) in New Albany, Indiana. The current practice location for Active Athlete Sports Medicine Psc is 3891 Charlestown Rd, New Albany, Indiana. For appointments, you can reach them via phone at (812) 949-3482. The mailing address for Active Athlete Sports Medicine Psc is 3891 Charlestown Road, New Albany, Indiana and phone number is (812) 949-3482.

Active Athlete Sports Medicine Psc is licensed to practice in Indiana (license number 01033436A). The clinic also participates in the medicare program and its NPI number is 1699920272. 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 (812) 949-3482.

Contact Information

Active Athlete Sports Medicine Psc
3891 Charlestown Rd
New Albany
IN 47150-9562
(812) 949-3482
(812) 812-9418

Primary Care Clinic Profile

Full NameActive Athlete Sports Medicine Psc
SpecialityFamily Medicine
Location3891 Charlestown Rd, New Albany, Indiana
Authorized Official Name and PositionTricia Roberts (MANAGER)
Authorized Official Contact8129493482
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Active Athlete Sports Medicine Psc
3891 Charlestown Road
New Albany
IN 47150

Ph: (812) 949-3482
Active Athlete Sports Medicine Psc
3891 Charlestown Rd
New Albany
IN 47150-9562

Ph: (812) 949-3482

NPI Details:

NPI Number1699920272
Provider Enumeration Date11/24/2008
Last Update Date02/24/2009

Medicare PECOS Information:

Medicare PECOS PAC ID5698831709
Medicare Enrollment IDO20090225000372

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Medical Identifiers

Medical identifiers for Active Athlete Sports Medicine Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699920272NPI-NPPES
100327800MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 01033436A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Athlete Sports Medicine Psc acts as a billing entity for following providers:
Provider NameGarth S Schooler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073551297
PECOS PAC ID: 7315913159
Enrollment ID: I20070515000168

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