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NPI Code Detail

MEDICARE: BERNADETTE MARY SCHRIML PA-C

MEDICARE:   BERNADETTE MARY SCHRIML  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
1363A00000XPhysician Assistant50.008673RXOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619732112
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNADETTE MARY SCHRIML PA-C
Provider Business Mailing Address
First Line : 12710 GUNNISON DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-6349
Country : US
Telephone Number : 317-946-3498
Fax Number :
Provider Business Practice Location Address
First Line : 8881 N MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45415-1333
Country : US
Telephone Number : 937-293-1622
Fax Number : 937-245-6308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2024
Last Update Date : 02/24/2026

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Directions to “ BERNADETTE MARY SCHRIML PA-C” Practice Location

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