Abigail Elisabeth Beard

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI 1114733540 · NPPES record last updated Dec 10, 2024

Key facts

NPI
1114733540
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
340 W 10TH St
Indianapolis, IN 46202-3082
Phone
(317) 274-8157
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250515003109 NC Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
4789102534

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

340 W 10TH St
Indianapolis, IN 46202-3082

Mailing address

340 W 10TH St
Indianapolis, IN 46202-3082

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.