Miss Deidre A Coffey, FNP | |
1025 Widener Ln, South Bend, IN 46614 | |
(574) 335-7600 | |
(574) 335-0734 |
Full Name | Miss Deidre A Coffey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 1025 Widener Ln, South Bend, 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 |
---|---|---|---|
1467747014 | NPI | - | NPPES |
P01056325 | Other | IN | RR PTAN (MIAMI LOCATION) |
000000878282 | Other | IN | BCBS |
000000719214 | Other | IN | BCBS - BREMEN |
000000996356 | Other | IN | BCBS (MIAMI LOCATION) |
201025560 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28133609A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Joseph Regional Medical Center Inc | 8325950843 | 101 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | Saint Joseph Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
Mailing Address | Practice Location Address |
---|---|
Miss Deidre A Coffey, FNP 707 E Cedar St, Ste 200, South Bend, IN 46617-2057 Ph: (574) 472-6700 | Miss Deidre A Coffey, FNP 1025 Widener Ln, South Bend, IN 46614 Ph: (574) 335-7600 |
Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475 | |
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000 | |
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355 | |
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083 | |
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811 | |
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191 | |
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706 |