Healthy Aging Enterprise, Llc - Medicare Primary Care in Fishers, IN

Healthy Aging Enterprise, Llc is a medicare enrolled primary clinic (Internal Medicine) in Fishers, Indiana. The current practice location for Healthy Aging Enterprise, Llc is 10926 Belle Plaine Blvd, Fishers, Indiana. For appointments, you can reach them via phone at (317) 985-9501. The mailing address for Healthy Aging Enterprise, Llc is 10926 Belle Plaine Blvd, Fishers, Indiana and phone number is () -.

Healthy Aging Enterprise, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417315102. 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) 985-9501.

Contact Information

Healthy Aging Enterprise, Llc
10926 Belle Plaine Blvd
Fishers
IN 46037-7113
(317) 985-9501
Not Available

Primary Care Clinic Profile

Full NameHealthy Aging Enterprise, Llc
SpecialityInternal Medicine
Location10926 Belle Plaine Blvd, Fishers, Indiana
Authorized Official Name and PositionMarwan Mustaklem (MBR)
Authorized Official Contact3179859501
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Healthy Aging Enterprise, Llc
10926 Belle Plaine Blvd
Fishers
IN 46037-7113

Ph: () -
Healthy Aging Enterprise, Llc
10926 Belle Plaine Blvd
Fishers
IN 46037-7113

Ph: (317) 985-9501

NPI Details:

NPI Number1417315102
Provider Enumeration Date02/09/2016
Last Update Date02/09/2016

Medicare PECOS Information:

Medicare PECOS PAC ID2668778010
Medicare Enrollment IDO20160310000836

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Medical Identifiers

Medical identifiers for Healthy Aging Enterprise, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417315102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (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. Healthy Aging Enterprise, Llc acts as a billing entity for following providers:
Provider NameMarwan Mustaklem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750357513
PECOS PAC ID: 0941102644
Enrollment ID: I20070327000115

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