Alissa Whittaker, FNP | |
2219 Dubois Dr, Warsaw, IN 46580-3212 | |
(574) 371-9550 | |
(574) 376-4793 |
Full Name | Alissa Whittaker |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2219 Dubois Dr, Warsaw, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033540638 | NPI | - | NPPES |
151020023 | Other | IN | MEDICARE PTAN |
201222850 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28186867A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71004885A (Indiana) | Primary |
Entity Name | The Otis R Bowen Center For Human Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
Mailing Address | Practice Location Address |
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Alissa Whittaker, FNP 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: () - | Alissa Whittaker, FNP 2219 Dubois Dr, Warsaw, IN 46580-3212 Ph: (574) 371-9550 |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Provident Dr, Warsaw, IN 46580 Phone: 574-372-3800 Fax: 574-372-5823 | |
Sara M. Vanlaningham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Dr. Amy Deion Stitt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 765-425-5576 | |
Tara Janae Little, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-269-8383 Fax: 260-479-2911 | |
Mrs. Candace G Lemke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-1700 | |
Kayla R Cottrill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134 |