Mrs Jessica Ruth Bleyle, NP-C | |
1740 Cape Charles Ct, Cicero, IN 46034-9624 | |
(317) 517-3515 | |
Not Available |
Full Name | Mrs Jessica Ruth Bleyle |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1740 Cape Charles Ct, Cicero, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053703900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71005373B (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71005373A (Indiana) | Primary |
Entity Name | Cleanslate Medical Group Of Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
Entity Name | Recover Together Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201029002221 |
Mailing Address | Practice Location Address |
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Mrs Jessica Ruth Bleyle, NP-C 1740 Cape Charles Ct, Cicero, IN 46034-9624 Ph: (317) 517-3515 | Mrs Jessica Ruth Bleyle, NP-C 1740 Cape Charles Ct, Cicero, IN 46034-9624 Ph: (317) 517-3515 |
Mrs. Melissa J Harding, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 W Jackson St, Cicero, IN 46034 Phone: 317-984-3444 | |
Lisa Achenbach, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 889 S Pearl St, Cicero, IN 46034 Phone: 808-285-1563 |