Izabelle Kamiel Mccann, CAA | |
85 E Us Highway 6, Valparaiso, IN 46383-8947 | |
(219) 983-5743 | |
(219) 983-5994 |
Full Name | Izabelle Kamiel Mccann |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 85 E Us Highway 6, Valparaiso, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417718776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Indiana) | Primary |
Entity Name | Porter County Anesthesia Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215974936 PECOS PAC ID: 4789573411 Enrollment ID: O20040311001120 |
Mailing Address | Practice Location Address |
---|---|
Izabelle Kamiel Mccann, CAA 52400 Bamford Dr, South Bend, IN 46637-4409 Ph: () - | Izabelle Kamiel Mccann, CAA 85 E Us Highway 6, Valparaiso, IN 46383-8947 Ph: (219) 983-5743 |
Ariba Chaudhary, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-989-8300 | |
Simmi Kayamali Bharvani, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 | |
Lance Trautman, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 |