Glorious Mobile Clinic &telemedicine Llc - Medicare Primary Care in Fishers, IN

Glorious Mobile Clinic &telemedicine Llc is a medicare enrolled primary clinic (Clinic/center) in Fishers, Indiana. The current practice location for Glorious Mobile Clinic &telemedicine Llc is 12392 Cool Winds Way, Fishers, Indiana. For appointments, you can reach them via phone at (317) 605-2630. The mailing address for Glorious Mobile Clinic &telemedicine Llc is 12392 Cool Winds Way, Fishers, Indiana and phone number is (317) 605-2630.

Glorious Mobile Clinic &telemedicine Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124763214. 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 (317) 605-2630.

Contact Information

Glorious Mobile Clinic &telemedicine Llc
12392 Cool Winds Way
Fishers
IN 46037-4488
(317) 605-2630
Not Available

Primary Care Clinic Profile

Full NameGlorious Mobile Clinic &telemedicine Llc
SpecialityClinic/Center
Location12392 Cool Winds Way, Fishers, Indiana
Authorized Official Name and PositionGloria Chidinma Nwachukwu (NURSE PRACTITIONER)
Authorized Official Contact3176052630
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glorious Mobile Clinic &telemedicine Llc
12392 Cool Winds Way
Fishers
IN 46037-4488

Ph: (317) 605-2630
Glorious Mobile Clinic &telemedicine Llc
12392 Cool Winds Way
Fishers
IN 46037-4488

Ph: (317) 605-2630

NPI Details:

NPI Number1124763214
Provider Enumeration Date05/03/2022
Last Update Date05/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1456724848
Medicare Enrollment IDO20230306002243

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Medical Identifiers

Medical identifiers for Glorious Mobile Clinic &telemedicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124763214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Glorious Mobile Clinic &telemedicine Llc acts as a billing entity for following providers:
Provider NameGloria Chidinma Nwachukwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033654231
PECOS PAC ID: 9638452410
Enrollment ID: I20170202001323

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