Ayana A Isham, AGNP | |
9030 Cline Ave Ste A, Highland, IN 46322-2204 | |
(219) 750-9497 | |
Not Available |
Full Name | Ayana A Isham |
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Gender | Female |
Speciality | General Practice |
Location | 9030 Cline Ave Ste A, Highland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780269084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 209021473 (Illinois) | Primary |
Entity Name | Informe Healthcare In, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992276638 PECOS PAC ID: 9537407770 Enrollment ID: O20190213000486 |
Mailing Address | Practice Location Address |
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Ayana A Isham, AGNP 9030 Cline Ave Ste A, Highland, IN 46322-2204 Ph: (219) 750-9497 | Ayana A Isham, AGNP 9030 Cline Ave Ste A, Highland, IN 46322-2204 Ph: (219) 750-9497 |
Charles Paul Zakutansky, FNP-C General Practice Medicare: Medicare Enrolled Practice Location: 9030 Cline Ave, Highland, IN 46322 Phone: 219-750-9497 | |
Dr. David John Foreit, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2940 Highway Ave, Highland, IN 46322 Phone: 219-595-0630 Fax: 219-595-0653 | |
Lolit Joseph, MD General Practice Medicare: Medicare Enrolled Practice Location: 3801 Ridge Rd, Highland, IN 46322 Phone: 219-838-0066 Fax: 219-838-4096 |