Israel Nieto, | |
4900 Broadway, Gary, IN 46408-4605 | |
(219) 237-5170 | |
(219) 321-1931 |
Full Name | Israel Nieto |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 4900 Broadway, Gary, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952890352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71007936A (Indiana) | Primary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20040513000199 |
Entity Name | Northshore Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
Entity Name | Fast Pace Medical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
Mailing Address | Practice Location Address |
---|---|
Israel Nieto, Po Box 746721, Atlanta, GA 30374-6721 Ph: (773) 352-1515 | Israel Nieto, 4900 Broadway, Gary, IN 46408-4605 Ph: (219) 237-5170 |
Mrs. Amanda Joy Dech, MSN/FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3229 Broadway Ste 205, Gary, IN 46409 Phone: 219-806-3000 | |
Mrs. Laresse Harris, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mrs. Nkechi Pauline Onyeukwu, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512 | |
Miss Nathalie Maherani Batchassi, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Grant St, Gary, IN 46404 Phone: 219-882-9900 | |
Michelle Wathier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 | |
Akeem Olasunkanmi Kareem, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mr. Darnell Rather, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 |