Angel Lam Roberson, NP | |
1215 Lawn Ave Ste 120, Elkhart, IN 46514-2733 | |
(574) 523-2733 | |
Not Available |
Full Name | Angel Lam Roberson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1215 Lawn Ave Ste 120, Elkhart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497477608 | NPI | - | NPPES |
300069661 | Medicaid | IN | |
1497477608 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704400340 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71013203A (Indiana) | Primary |
Entity Name | Beacon Medical Group Inc |
---|---|
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 |
---|---|
Angel Lam Roberson, NP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Angel Lam Roberson, NP 1215 Lawn Ave Ste 120, Elkhart, IN 46514-2733 Ph: (574) 523-2733 |
Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Mr. Kenneth Francis Raderstorf Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-266-5342 Fax: 574-266-5847 | |
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163 | |
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822 | |
Ann R. Moore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Arcade Ave, Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891 |