Elisabeth K Degenhardt, RN, MSN | |
5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | |
(317) 781-4588 | |
(317) 782-4885 |
Full Name | Elisabeth K Degenhardt |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
Location | 5230 E Stop 11 Rd Ste 300, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508041716 | NPI | - | NPPES |
28089558A | Other | IN | RN LICENSE |
200980490 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 70000009C (Indiana) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Elisabeth K Degenhardt, RN, MSN 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Elisabeth K Degenhardt, RN, MSN 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 Ph: (317) 781-4588 |
Sheryl Ann Terzini, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 7250 Clearvista Drive, Suite 227, Indianapolis, IN 46256 Phone: 317-621-7804 Fax: 317-621-7275 | |
Johnny Valito Toles Sr., LPN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1635 N Arlington Ave, Indianapolis, IN 46218 Phone: 317-353-6000 | |
Megan Zondor, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-847-0991 | |
Jennifer L Dickinson, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-8211 | |
David Beatty, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-8485 | |
Ms. Raenita D Mears, MSN RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-9013 | |
Dr. Alyson Yvonne Keen, PHD, RN, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-341-3060 |