Kayla Spears, NP | |
6923 W 400 N, Michigan City, IN 46360-9198 | |
(219) 325-0604 | |
(219) 879-1401 |
Full Name | Kayla Spears |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6923 W 400 N, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114693108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 28223724A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71011782A (Indiana) | Primary |
Entity Name | La Porte Clinic Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
Entity Name | Upstream Health & Wellness, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174082523 PECOS PAC ID: 2062754419 Enrollment ID: O20190503002067 |
Mailing Address | Practice Location Address |
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Kayla Spears, NP 6923 W 400 N, Michigan City, IN 46360-9198 Ph: (219) 325-0604 | Kayla Spears, NP 6923 W 400 N, Michigan City, IN 46360-9198 Ph: (219) 325-0604 |
Carol Lynn Parks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360 Phone: 219-879-6531 | |
Jason C Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511 Fax: 219-877-2000 | |
Donald Ernest Greer Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511 | |
Kaci Bauske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-831-8740 Fax: 219-877-1029 | |
Nichole M Shultz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 121-987-3291 Fax: 219-873-2909 | |
Todd Noel Wolford, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360 Phone: 219-809-9839 Fax: 219-809-9841 | |
Kristen R Novak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360 Phone: 219-872-6566 |