MEDICARE: JULIE ANN FECHT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	01060669A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01588210	OTHER	IN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000369950	OTHER	IN	ANTHEM HEALTH PLAN
4	7736383	OTHER	IN	AETNA HEALTH PLAN

General Provider Information

NPI Number	:	1548251309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANN FECHT M.D.

Provider Business Mailing Address
First Line	:	6626 E 75TH ST
Second Line	:	SUITE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8890 E 116TH ST
Second Line	:	SUITE 260
City	:	FISHERS
State	:	IN
Zip	:	46038-2856
Country	:	US
Telephone Number	:	317-621-8953
Fax Number	:	317-621-4456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	11/27/2023

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Directions to “ JULIE ANN FECHT M.D.” Practice Location

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