Benjamin Cale Friesen, | |
1915 Lake Ave, Plymouth, IN 46563-9366 | |
(574) 948-4000 | |
Not Available |
Full Name | Benjamin Cale Friesen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1915 Lake Ave, Plymouth, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366905275 | NPI | - | NPPES |
28203358A | Other | INDIANA STATE BOARD OF NURSING | |
71008991A | Other | IN | ANP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 28203358A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71008991A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Joseph Regional Medical Center- Plymouth Campus Inc | 9537071337 | 16 |
Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
Entity Name | Apogee Medical Group Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093973885 PECOS PAC ID: 8729155742 Enrollment ID: O20080917000320 |
Entity Name | Informe Healthcare, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407343965 PECOS PAC ID: 8123375474 Enrollment ID: O20180723000258 |
Entity Name | Informe Healthcare In, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992276638 PECOS PAC ID: 9537407770 Enrollment ID: O20190213000486 |
Entity Name | Informe Hc Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255917647 PECOS PAC ID: 5698184885 Enrollment ID: O20210428002612 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Cale Friesen, 56765 County Road 23, Bristol, IN 46507-9516 Ph: (574) 238-8372 | Benjamin Cale Friesen, 1915 Lake Ave, Plymouth, IN 46563-9366 Ph: (574) 948-4000 |
Jessica Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-523-3160 | |
Kimberley Kay Mendez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 W Adams St Ste 150, Plymouth, IN 46563 Phone: 574-335-7900 Fax: 574-335-0850 | |
Eric Eugene Spohn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 Illinois St, Plymouth, IN 46563 Phone: 574-936-9646 | |
Marla M Troyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-335-0745 | |
Mrs. Julie Marie Brandy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 119, Plymouth, IN 46563 Phone: 574-941-1000 Fax: 574-941-1075 | |
Lauren Grace Tanner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-540-2052 Fax: 574-540-2540 | |
Kathryn Lynn Zehr, DNP, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 110, Plymouth, IN 46563 Phone: 574-948-5290 Fax: 574-948-5495 |