Diane E Spoljoric, FNP in La Porte, IN - Medicare Nurse Practitioner

Diane E Spoljoric, FNP is a medicare enrolled "Nurse Practitioner - Family" in La Porte, Indiana. Her current practice location is 6916 W Johnson Rd, La Porte, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 326-7337.

Diane E Spoljoric is licensed to practice in Indiana (license number 71000170A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134213028.

Contact Information

	Diane E Spoljoric, FNP
	6916 W Johnson Rd, La Porte, IN 46350-6548
	(219) 326-7337
	(219) 814-4228

Map and Direction

Provider's Profile

Full Name	Diane E Spoljoric
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6916 W Johnson Rd, La Porte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134213028
Provider Enumeration Date: 10/03/2006
Last Update Date: 11/05/2013

Medicare PECOS Information:

PECOS PAC ID: 4880762624
Enrollment ID: I20081007000646

Medical Identifiers

Medical identifiers for Diane E Spoljoric such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134213028	NPI	-	NPPES
200233460A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71000170A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diane E Spoljoric allows following entities to bill medicare on her behalf.

Entity Name	Porter-starke Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098

Entity Name	Edgewater Systems For Balanced Living Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588705784 PECOS PAC ID: 9234398397 Enrollment ID: O20120308000405

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. Diane E Spoljoric is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diane E Spoljoric, FNP 6916 W Johnson Rd, La Porte, IN 46350-6548 Ph: (219) 326-7337	Diane E Spoljoric, FNP 6916 W Johnson Rd, La Porte, IN 46350-6548 Ph: (219) 326-7337

Reviews and Comments

Nurse Practitioner Nurses in La Porte, IN

Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802
Tami Clinkenbeard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Newporte Blvd, La Porte, IN 46350 Phone: 219-326-1775 Fax: 219-326-1951
Kimberly Minich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377
April Donald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-878-5645
Sandra R Gates-manna, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-325-5434 Fax: 219-325-7655

Diane E Spoljoric, FNP - Medicare Nurse Practitioner in La Porte, IN