| Michael J Beach, FNP | |
|
7002 W Johnson Rd, La Porte, IN 46350-8289 | |
| (219) 325-0604 | |
| (219) 879-1401 |
| Full Name | Michael J Beach |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 7002 W Johnson Rd, La Porte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942219878 | NPI | - | NPPES |
| 000000792654 | Other | IN | ANTHEM BCBS |
| 200233470 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71000746A (Indiana) | Primary |
| Entity Name | Indiana University Health La Porte Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760593776 PECOS PAC ID: 0345147963 Enrollment ID: O20031212000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Beach, FNP Po Box 1690, La Porte, IN 46352-1690 Ph: (219) 326-2312 | Michael J Beach, FNP 7002 W Johnson Rd, La Porte, IN 46350-8289 Ph: (219) 325-0604 |
Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802 | |
Tami Clinkenbeard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Newporte Blvd, La Porte, IN 46350 Phone: 219-326-1775 Fax: 219-326-1951 | |
Kimberly Minich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377 | |
April Donald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246 | |
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-878-5645 | |
Sandra R Gates-manna, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-325-5434 Fax: 219-325-7655 | |
Diane E Spoljoric, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6916 W Johnson Rd, La Porte, IN 46350 Phone: 219-326-7337 Fax: 219-814-4228 |