Alice Odelia Bruggeman, NP | |
428 West Votaw Street, Suite A, Portland, IN 47371-0710 | |
(260) 726-8822 | |
(260) 726-7857 |
Full Name | Alice Odelia Bruggeman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 428 West Votaw Street, Portland, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114020104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71000942A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Jay, Inc. | Portland, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 301 |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Mailing Address | Practice Location Address |
---|---|
Alice Odelia Bruggeman, NP 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: () - | Alice Odelia Bruggeman, NP 428 West Votaw Street, Suite A, Portland, IN 47371-0710 Ph: (260) 726-8822 |
Mrs. Heather Ann Masters, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975 | |
Kerry M Torres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822 | |
Danielle Thompson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312 Fax: 260-703-3313 | |
Anne Hardesty, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-2313 | |
Kayla Marie Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Votaw St, Portland, IN 47371 Phone: 765-288-1928 | |
Carrie Elizabeth Baldwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 |