Ann M Gang, NP is a
Nurse Practitioner based in Fortville, Indiana. Ann M Gang is licensed to practice in Indiana (license number 71000302A) and her current practice location is
717 E Broadway St, Fortville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 621-9220.
NPI number for Ann M Gang is 1104836063 and her current mailing address is 717 E Broadway St, Fortville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104836063.
Provider's Profile
Full Name | Ann M Gang |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 717 E Broadway St, Fortville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104836063
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 06/21/2011
Medical Identifiers
Medical identifiers for Ann M Gang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104836063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 71000302A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ann M Gang is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ann M Gang, NP 717 E Broadway St, Fortville, IN 46040-1551 Ph: (317) 621-9220 | Ann M Gang, NP 717 E Broadway St, Fortville, IN 46040-1551 Ph: (317) 621-9220 |
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