Individual
ANDREA MERNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4001 W GOELLER BLVD STE A, COLUMBUS, IN 47201-8309
(812) 375-3330
(812) 375-3329
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1051166
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089944
BLUE CROSS ANTHEM
IN
01
—
000000984082
ANTHEM PIN
IN
01
—
080141548
MEDICARE RAILROAD
IN
01
—
1051166
IN MEDICAL LICENSE
IN
05
—
200229670A
—
IN
Enumeration date
05/02/2006
Last updated
09/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us