| Jeri Dine, ANP | |
|
1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | |
| (317) 859-1090 | |
| (317) 859-3322 |
| Full Name | Jeri Dine |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1600 Albany St, Beech Grove, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366624728 | NPI | - | NPPES |
| 0011953-21 | Other | IN | NP CERTIFICATION |
| 000000041022 | Other | IN | M PLAN |
| 35-4994904 | Other | IN | TID |
| P00068634 | Other | IN | RR MEDICARE |
| 11478722 | Other | IN | CAQH |
| 28065854A | Other | IN | RN LICENSE |
| 71000423B | Other | IN | CSR |
| 000000550394 | Other | IN | ANTHEM |
| 200307870 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 71000423A (Indiana) | Primary |
| 363L00000X | Nurse Practitioner | 71000423A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeri Dine, ANP Po Box 100, Beech Grove, IN 46107-0100 Ph: (317) 859-1090 | Jeri Dine, ANP 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 Ph: (317) 859-1090 |
Danielle Groce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 | |
Carrie Wors, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 Albany St, Beech Grove, IN 46107 Phone: 317-786-1031 | |
Joseph Schnepp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 | |
Gennelle Katherine Lucid, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 | |
Mary Kathaleen Steinke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107 Phone: 317-859-1090 Fax: 317-859-3322 | |
Linda Gritzer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Albany St, Suite 807, Beech Grove, IN 46107 Phone: 317-783-8921 Fax: 317-782-6916 |