Jodi A Allen, NP | |
11161 Randolph St, Crown Point, IN 46307-8564 | |
(219) 662-9424 | |
(219) 662-7465 |
Full Name | Jodi A Allen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 11161 Randolph St, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558646091 | NPI | - | NPPES |
000000745867 | Other | IN | ANTHEM TRADITIONAL, BLUE ACCESS, PPO |
201040780 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71003739A (Indiana) | Primary |
Entity Name | Community Care Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Jodi A Allen, NP 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7241 Ph: (317) 528-4284 | Jodi A Allen, NP 11161 Randolph St, Crown Point, IN 46307-8564 Ph: (219) 662-9424 |
Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770 | |
James Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Faith A Ornelas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 N Main St Ste C, Crown Point, IN 46307 Phone: 219-662-3300 Fax: 219-662-3301 | |
Anita D Arthur, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Jennifer Lee Virgl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 |