Alyssa Ingle, DNP, APRN, FNP-BC | |
1144 W Plymouth St, Bremen, IN 46506-1842 | |
(574) 546-5363 | |
Not Available |
Full Name | Alyssa Ingle |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1144 W Plymouth St, Bremen, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841927449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28223644A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71012664A (Indiana) | Primary |
Entity Name | Beacon Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
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Alyssa Ingle, DNP, APRN, FNP-BC 4 Ironwood Rd, Bremen, IN 46506-9640 Ph: (574) 485-9058 | Alyssa Ingle, DNP, APRN, FNP-BC 1144 W Plymouth St, Bremen, IN 46506-1842 Ph: (574) 546-5363 |
Mrs. Lensa Gideon Girsha, BSN, MS, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-3730 | |
Kimberly Kay Dietrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330 | |
Sharlotte Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 |