| John L Kittredge, PA | |
|
3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 | |
| (574) 252-4150 | |
| (574) 252-4159 |
| Full Name | John L Kittredge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3740 Edison Lakes Pkwy, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750316196 | NPI | - | NPPES |
| 2551100140 | Other | MI | BC/BS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601001621 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John L Kittredge, PA 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 Ph: (574) 252-4150 | John L Kittredge, PA 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 Ph: (574) 252-4150 |
Collins Abere, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Duane M Wampler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1802 Day Rd, Mishawaka, IN 46545 Phone: 574-204-7200 Fax: 574-252-0633 | |
Mrs. Diana E Perez - Solano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 611 E Douglas Rd Ste 207, Mishawaka, IN 46545 Phone: 574-335-6850 Fax: 574-335-0849 | |
Emily Elston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 505 W Cleveland Rd, Mishawaka, IN 46545 Phone: 574-235-3135 | |
David Eugene Fellows, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Emily Grace Gouker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 270 E Day Rd Ste 280, Mishawaka, IN 46545 Phone: 574-271-0268 Fax: 574-271-0395 | |
Mr. Tyler Stephen Clutter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-523-3160 Fax: 574-523-3221 |