Kristin Marie Wymer, NP | |
211 N Eddy St, South Bend, IN 46617-3096 | |
(574) 237-9231 | |
(574) 204-6355 |
Full Name | Kristin Marie Wymer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 211 N Eddy St, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679058762 | NPI | - | NPPES |
169380084 | Other | IN | MEDICARE PTAN |
247000032 | Other | IN | MEDICARE PTAN |
261970104 | Other | IN | MEDICARE PTAN |
300020098 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WR0006X | Registered Nurse - Registered Nurse First Assistant | 28193580A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71008462A (Indiana) | Primary |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | The South Bend Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
Mailing Address | Practice Location Address |
---|---|
Kristin Marie Wymer, NP 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 237-9231 | Kristin Marie Wymer, NP 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 237-9231 |
Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475 | |
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000 | |
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355 | |
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083 | |
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811 | |
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191 | |
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706 |