Katrina M Carlson, | |
2600 N Detroit St, Lagrange, IN 46761-1154 | |
(260) 463-4896 | |
Not Available |
Full Name | Katrina M Carlson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2600 N Detroit St, Lagrange, 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 |
---|---|---|---|
1740719244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71007375A (Indiana) | Primary |
163W00000X | Registered Nurse | 28166709A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Lagrange Hospital | Lagrange, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Health System Inc | 2163336967 | 1192 |
Entity Name | Parkview Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
---|---|
Katrina M Carlson, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Katrina M Carlson, 2600 N Detroit St, Lagrange, IN 46761-1154 Ph: (260) 463-4896 |
Mrs. Abby Marie Levitz, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 Fax: 260-463-4237 | |
Ms. Arlene R Word-white, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 Fax: 260-463-4237 | |
Mrs. Lauren Fiandt, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Mrs. Sasha Danielle Plank, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 | |
Kari Ann Rader, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Rebekah A Rakoczy, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Justin Asher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 |