Ellen Hennessy-harstad, PNP | |
9128 Columbia Ave, Munster, IN 46321-2907 | |
(219) 836-2730 | |
(219) 836-0244 |
Full Name | Ellen Hennessy-harstad |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 9128 Columbia Ave, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639337413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 71000811A (Indiana) | Primary |
Entity Name | Community Healthnet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952332298 PECOS PAC ID: 6305852344 Enrollment ID: O20060228000318 |
Mailing Address | Practice Location Address |
---|---|
Ellen Hennessy-harstad, PNP 9128 Columbia Ave, Munster, IN 46321-2907 Ph: (219) 836-2730 | Ellen Hennessy-harstad, PNP 9128 Columbia Ave, Munster, IN 46321-2907 Ph: (219) 836-2730 |
Konstantina Gardikiotes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9410 Calumet Ave Ste 101, Munster, IN 46321 Phone: 219-922-8051 | |
Jennifer Dawn Stone, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894 | |
Kathleen A Carlson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 761 45th St Ste 103, Munster, IN 46321 Phone: 219-922-3002 Fax: 219-922-3003 | |
Mrs. Amara Donella Dickerson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9410 Calumet Ave Ste 401, Munster, IN 46321 Phone: 219-922-4900 Fax: 219-836-9922 | |
Jennifer Lee Franklin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Superior Ave Ste 2700, Munster, IN 46321 Phone: 219-922-7168 Fax: 219-922-7170 | |
Olaide Avoseh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9128 Columbia Ave, Munster, IN 46321 Phone: 219-836-2730 | |
Brett Allen Milkevitch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-5800 Fax: 219-836-3048 |