MEDICARE: AMBER RENEE COX PA-C

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	363A00000X	Physician Assistant	10000926A	IN
2	363AM0700X	Medical Physician Assistant	10000926A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000694727	OTHER	IN	ANTHEM
2	9214408	OTHER	IN	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558554865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER RENEE COX PA-C

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7930 N SHADELAND AVE STE 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2943
Country	:	US
Telephone Number	:	317-621-6725
Fax Number	:	317-621-4545

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

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	11/27/2023

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