Dr Keith Nalley, DO | |
4111 Franklin St, Michigan City, IN 46360-7803 | |
(219) 873-2919 | |
(219) 873-2909 |
Full Name | Dr Keith Nalley |
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Gender | Male |
Speciality | Family Medicine |
Location | 4111 Franklin St, 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 |
---|---|---|---|
1609913730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 02002091A (Indiana) | Secondary |
207Q00000X | Family Medicine | 02002091A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Entity Name | Community Care Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
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Dr Keith Nalley, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Keith Nalley, DO 4111 Franklin St, Michigan City, IN 46360-7803 Ph: (219) 873-2919 |
Michael J Best, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8865 W 400 N Ste 165, Michigan City, IN 46360 Phone: 219-877-3333 Fax: 219-878-9644 | |
Dr. Gerald Paul Myers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Park Row, Michigan City, IN 46360 Phone: 219-874-7256 Fax: 219-879-9839 | |
Dr. Ralph M Caruso, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-873-2919 | |
Franklin Firestone, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3777 North Frontage Road, Michigan City, IN 46360 Phone: 219-879-6021 Fax: 219-879-6365 | |
Sandra L Deausy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8865 W 400 N Ste 165, Michigan City, IN 46360 Phone: 219-877-3333 Fax: 219-878-9644 | |
Thomas Schmittdiel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave Ste 200, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-2942 | |
Dr. Jaroslaw Kuna, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 219-873-2919 Fax: 219-873-2909 |