Kelsey House, | |
1201 Michigan Ave Ste Ll50, Logansport, IN 46947-1562 | |
(574) 753-1407 | |
(574) 753-1489 |
Full Name | Kelsey House |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1201 Michigan Ave Ste Ll50, Logansport, 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 |
---|---|---|---|
1710530605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71009319A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71009319A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Logansport, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital | 8123923281 | 71 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001 |
Mailing Address | Practice Location Address |
---|---|
Kelsey House, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Kelsey House, 1201 Michigan Ave Ste Ll50, Logansport, IN 46947-1562 Ph: (574) 753-1407 |
Ms. Lois Jane Taylor, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9366 Fax: 574-722-5987 | |
Ms. Jo Estes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308 | |
Chad E Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Michelle Leigh Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3727 E Market St, Logansport, IN 46947 Phone: 574-727-2114 | |
Thomas Calvin Kerr, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 South State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-737-3907 | |
Alison G Kaneshiro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541 | |
Tracy L. Thomas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 574-735-0429 |