Emily Peak, | |
52500 Fir Rd, Granger, IN 46530-8579 | |
(574) 234-8161 | |
Not Available |
Full Name | Emily Peak |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 52500 Fir Rd, Granger, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154037398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F05220263 (Indiana) | Primary |
Entity Name | The South Bend Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
Mailing Address | Practice Location Address |
---|---|
Emily Peak, 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 204-6522 | Emily Peak, 52500 Fir Rd, Granger, IN 46530-8579 Ph: (574) 234-8161 |
Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240 | |
Kristi M Troyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, Granger, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 |