Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WELLCARE FAMILY MEDICINE PC
Active
Organization
WELLCARE FAMILY MEDICINE PC
Active
Other names
WELLCARE FAMILY MEDICINE PC
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
9757 WESTPOINT DR, INDIANAPOLIS, IN 46256-3341
(317) 577-2779
(317) 577-2546
Mailing address
9757 WESTPOINT DR, INDIANAPOLIS, IN 46256-3341
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535559
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/23/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers