Maura Rebecca Hantz, NP | |
2500 N Detroit St, Lagrange, IN 46761-1158 | |
(260) 463-2133 | |
(260) 463-3775 |
Full Name | Maura Rebecca Hantz |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2500 N Detroit St, Lagrange, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548038383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71014687A (Indiana) | Primary |
Entity Name | Northeast Internal Medicine Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174518500 PECOS PAC ID: 7113830688 Enrollment ID: O20031111000068 |
Mailing Address | Practice Location Address |
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Maura Rebecca Hantz, NP Po Box 236, Lagrange, IN 46761-0236 Ph: (260) 463-2133 | Maura Rebecca Hantz, NP 2500 N Detroit St, Lagrange, IN 46761-1158 Ph: (260) 463-2133 |
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 |