MEDICARE: MY WAY TRANSPORTATION

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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1578253449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY WAY TRANSPORTATION

Provider Business Mailing Address
First Line	:	4029 FOREST MANOR AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-4437
Country	:	US
Telephone Number	:	317-649-3778
Fax Number	:

Provider Business Practice Location Address
First Line	:	3307 N SHERMAN DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-2104
Country	:	US
Telephone Number	:	317-649-3778
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NOREEN DRIVER
Credential	:
Telephone Number	:	317-649-3778

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	05/16/2023

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Directions to “MY WAY TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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