| Jay Lee Hoeksema, NP | |
|
661 E Main St, Peru, IN 46970-2662 | |
| (765) 472-2519 | |
| (765) 400-4465 |
| Full Name | Jay Lee Hoeksema |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 661 E Main St, Peru, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124625926 | NPI | - | NPPES |
| 71010433B | Other | IN | CSR PRESCRIPTIVE AUTHORITY |
| 28160280A | Other | IN | REG. NURSING |
| 71010433A | Other | IN | APRN PRESCRIPTIVE AUTHORITY |
| Entity Name | Indiana Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
| Entity Name | Inphynet Primary Care Physicians Midwest, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528090610 PECOS PAC ID: 6507808946 Enrollment ID: O20050525001352 |
| Entity Name | Nes Of Sandusky Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Lee Hoeksema, NP 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335 | Jay Lee Hoeksema, NP 661 E Main St, Peru, IN 46970-2662 Ph: (765) 472-2519 |
Heather Weber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 W Old Key Dr, Peru, IN 46970 Phone: 765-475-6963 Fax: 765-475-2833 | |
Elaine Olson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 W Old Key Dr Ste 150, Peru, IN 46970 Phone: 765-430-7507 Fax: 765-475-2839 | |
Melissa Coleman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1244 W Blair Pike Rd, Peru, IN 46970 Phone: 765-513-5251 | |
Joanna Leigh Moore, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 661 E Main St, Peru, IN 46970 Phone: 765-472-2519 Fax: 765-400-4465 | |
Vicki Lynn Lederle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 661 E Main St # B, Peru, IN 46970 Phone: 765-472-2519 Fax: 765-400-4465 | |
Katina A Everding, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2484 S Business 31, Suite C, Peru, IN 46970 Phone: 765-472-2722 Fax: 765-472-2722 |