Adella Blondet, | |
4900 Broadway, Gary, IN 46408-4605 | |
(219) 237-5170 | |
(219) 321-1931 |
Full Name | Adella Blondet |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4900 Broadway, Gary, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275900342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.011604 (Illinois) | Primary |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210513001181 |
Mailing Address | Practice Location Address |
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Adella Blondet, 213 N Racine Ave, Suite 100, Chicago, IL 60607-1644 Ph: (312) 733-9730 | Adella Blondet, 4900 Broadway, Gary, IN 46408-4605 Ph: (219) 237-5170 |
Mrs. Amanda Joy Dech, MSN/FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3229 Broadway Ste 205, Gary, IN 46409 Phone: 219-806-3000 | |
Mrs. Laresse Harris, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mrs. Nkechi Pauline Onyeukwu, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512 | |
Miss Nathalie Maherani Batchassi, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Grant St, Gary, IN 46404 Phone: 219-882-9900 | |
Michelle Wathier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 | |
Akeem Olasunkanmi Kareem, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mr. Darnell Rather, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 |