Lindsay B Bonaventura, NP | |
1033 N Indiana Ave, Syracuse, IN 46567-1017 | |
(574) 457-5701 | |
(574) 457-5609 |
Full Name | Lindsay B Bonaventura |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1033 N Indiana Ave, Syracuse, 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 |
---|---|---|---|
1558605485 | NPI | - | NPPES |
71004237A | Other | IN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71004237A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71004237A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthlinc Inc | 7618929373 | 60 |
Entity Name | Goshen Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
Entity Name | Healthlinc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
Entity Name | Minuteclinic Diagnostics Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830 |
Entity Name | Porter Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Entity Name | La Porte Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
Mailing Address | Practice Location Address |
---|---|
Lindsay B Bonaventura, NP Po Box 834, Goshen, IN 46527-0834 Ph: (574) 364-2592 | Lindsay B Bonaventura, NP 1033 N Indiana Ave, Syracuse, IN 46567-1017 Ph: (574) 457-5701 |
Stephanie Lynne Mcnamara, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 Fax: 574-457-5609 | |
Falon Kuhn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 | |
Joelle Marie Carson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 |