Jill Irene Maddack, APN | |
4500 W 181st Ave, Lowell, IN 46356-0017 | |
(219) 690-2016 | |
(219) 690-1862 |
Full Name | Jill Irene Maddack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 4500 W 181st Ave, Lowell, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750634531 | NPI | - | NPPES |
201173110 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28107133A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71004266A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Crown Point | Crown point, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Physician Network | 3072790682 | 983 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Jill Irene Maddack, APN Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Jill Irene Maddack, APN 4500 W 181st Ave, Lowell, IN 46356-0017 Ph: (219) 690-2016 |
Alejandra Garcia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18627 White Oak Ave, Lowell, IN 46356 Phone: 219-671-7443 | |
Mrs. Angela Jean Gard, RN, BSN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17648 Morse St, Lowell, IN 46356 Phone: 219-696-6258 | |
Jessica Goodman, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2068 Lucas Pkwy, Lowell, IN 46356 Phone: 219-690-7025 | |
Mrs. Latasha Pittman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2072b E Commercial Ave, Lowell, IN 46356 Phone: 219-696-6880 | |
Katheryn Dee White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 W 181st Ave, Lowell, IN 46356 Phone: 219-690-2016 Fax: 219-690-1862 | |
Mr. Michael Alan Polich, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 792 Carriage Dr, Lowell, IN 46356 Phone: 219-696-4101 |