Andrea N Carroll, FNP | |
206 W Warren St, Middlebury, IN 46540-9410 | |
(574) 358-0042 | |
(574) 358-0157 |
Full Name | Andrea N Carroll |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 206 W Warren St, Middlebury, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518678747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71013379A (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 |
---|---|
Andrea N Carroll, FNP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Andrea N Carroll, FNP 206 W Warren St, Middlebury, IN 46540-9410 Ph: (574) 358-0042 |
Mrs. Amy Elizabeth Hoffman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 Us Highway 20, Middlebury, IN 46540 Phone: 574-825-8068 | |
Julie Ann Hartzler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1200 W, Middlebury, IN 46540 Phone: 574-825-3888 | |
Tamara Kay Coney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1200 W, Middlebury, IN 46540 Phone: 574-825-3888 Fax: 574-318-3358 | |
Leeann Marie Enix, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-358-0042 Fax: 574-358-0157 | |
Mrs. Theresa Ann Clark, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 N Main St, Middlebury, IN 46540 Phone: 574-825-3400 | |
Janet E. Kercher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-825-2146 Fax: 574-524-7435 |