Mayory Roberts, APRN | |
1828 165th St Ste A, Hammond, IN 46320-2823 | |
(219) 763-8112 | |
(219) 844-9006 |
Full Name | Mayory Roberts |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1828 165th St Ste A, Hammond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447896568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 025912 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71010982A (Indiana) | Primary |
Entity Name | Cg Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216 |
Mailing Address | Practice Location Address |
---|---|
Mayory Roberts, APRN Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Mayory Roberts, APRN 1828 165th St Ste A, Hammond, IN 46320-2823 Ph: (219) 763-8112 |
Amanda Vagelatos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2250 173rd St, Hammond, IN 46323 Phone: 765-494-0111 | |
Tamika Banks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5818 Columbia Ave, Hammond, IN 46320 Phone: 219-261-5451 | |
Miyako S Streeter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Kristen Karanovic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Mrs. Sheriva Hunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5818 Columbia Ave, Hammond, IN 46320 Phone: 219-237-5160 Fax: 219-321-1935 | |
Dana Joy Hiskes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 Fax: 219-802-8801 | |
Barbara Lumbarkoski, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Casino Center Dr, Hammond, IN 46320 Phone: 219-473-6100 Fax: 219-473-6147 |