Olivia Rudnicki, | |
710 Franklin St Ste 200, Michigan City, IN 46360 | |
(219) 872-6200 | |
(219) 879-2915 |
Full Name | Olivia Rudnicki |
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Gender | Female |
Speciality | Dentist |
Location | 710 Franklin St Ste 200, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790219384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12012921A (Indiana) | Primary |
Entity Name | Healthlinc Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
Mailing Address | Practice Location Address |
---|---|
Olivia Rudnicki, 710 Franklin St Ste 200, Michigan City, IN 46360-3564 Ph: (219) 872-6200 | Olivia Rudnicki, 710 Franklin St Ste 200, Michigan City, IN 46360 Ph: (219) 872-6200 |
Tabitha Lynn Sherrill, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 Alfred Street, Michigan City, IN 46360 Phone: 219-872-6200 | |
Dr. Michael J Orrico, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5477 N Johnson Rd, Michigan City, IN 46360 Phone: 219-879-8563 | |
Dr. Llyndall Rhett Fagg, DDS MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 Medical Plz, Michigan City, IN 46360 Phone: 219-879-4559 Fax: 219-879-4559 | |
Dr. Lisa Marie Leniski, D.D.S., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 E 4th St, Michigan City, IN 46360 Phone: 219-879-4559 Fax: 219-879-4559 | |
Douglas W Weber, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1213 E Coolspring Avenue, Coolspring Dental Clinic, Michigan City, IN 46360 Phone: 219-872-9151 Fax: 219-873-3341 | |
Michael J Hayduk, DDS MS D Dentist Medicare: Medicare Enrolled Practice Location: 450 St John Road, Suite 350, Michigan City, IN 46360 Phone: 219-872-3232 Fax: 219-872-3583 | |
Meghana Mantha, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5240 Franklin St, Michigan City, IN 46360 Phone: 219-873-9000 |