Lora D Defreese, CNM | |
1215 Lawn Ave Ste 100, Elkhart, IN 46514-2450 | |
(574) 293-2893 | |
(574) 293-1298 |
Full Name | Lora D Defreese |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1215 Lawn Ave Ste 100, Elkhart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336618644 | NPI | - | NPPES |
300021977 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 09000316A (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 | Heart City Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720033418 PECOS PAC ID: 9931008380 Enrollment ID: O20040105000515 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Lora D Defreese, CNM 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: () - | Lora D Defreese, CNM 1215 Lawn Ave Ste 100, Elkhart, IN 46514-2450 Ph: (574) 293-2893 |
Samantha Lynn Jester, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 | |
Tara Christine Jones, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1215 Lawn Ave, Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-335-0806 | |
Heather A. Hostetler, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1215 Lawn Ave, Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Patricia Jo Chapman, C.N.M Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1215 Lawn Ave, Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Ms. Karey J Hogue, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1215 Lawn Ave, Suite 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Ms. Amanda S. Winters, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave, Suite 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 |