Blake Clutter
Individual provider Active NPI Family Medicine Physician · McCordsville, IN
NPI 1699356303 · NPPES record last updated Dec 6, 2024
Key facts
- NPI
- 1699356303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02007088A (IN)
- Practice address
- 8535 N Clearview Dr
McCordsville, IN 46055-6240 - Phone
- (317) 477-6938
- Fax
- (317) 477-6409
- NPI assigned
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Marian University College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hancock Physician Network LLC
Practice addresses (Care Compare)
8535 N Clearview Dr
Suite 200
McCordsville, IN 46055-6241
Phone (317) 335-6960
Hospital & facility affiliations
- Hancock Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240802002115 | IN | Practitioner - Family Practice | 4587065164 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Physician Network, LLC | Family Medicine | Current |
Accepting new patients |
Locations
801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727
8535 N Clearview Dr
Ste 200
McCordsville, IN 46055
Phone (317) 335-6960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 02007088A | IN | Yes |
Addresses
Primary practice location
8535 N Clearview Dr
McCordsville, IN 46055-6240
Mailing address
8535 N Clearview Dr
McCordsville, IN 46055-6240
Phone (317) 477-6938
Other providers in McCordsville, IN
- Jodi Burhenn
- Gabrielle Butts
- Floyd Carson
- Sydney Chism
- Clarity Speech Therapy Services
- Convenient Medical Transportation
- Keairra Crum
- Margot Marie Cruz
- D6 Transportation Inc
- Daniel & Max, LLC
All providers in McCordsville, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.