Corinne Monique Hertsel, | |
107 W Pickwick Dr Ste A, Syracuse, IN 46567-1832 | |
(574) 457-8585 | |
(260) 479-2913 |
Full Name | Corinne Monique Hertsel |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 107 W Pickwick Dr Ste A, Syracuse, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164064119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28173822A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71009435A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kosciusko Medical Group Llc | 5496809956 | 50 |
Entity Name | Kosciusko Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
Mailing Address | Practice Location Address |
---|---|
Corinne Monique Hertsel, 107 W Pickwick Dr Ste A, Syracuse, IN 46567-1832 Ph: (574) 457-8585 | Corinne Monique Hertsel, 107 W Pickwick Dr Ste A, Syracuse, IN 46567-1832 Ph: (574) 457-8585 |
Stephanie Lynne Mcnamara, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 Fax: 574-457-5609 | |
Falon Kuhn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 | |
Joelle Marie Carson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 | |
Lindsay B Bonaventura, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 Fax: 574-457-5609 |