Mrs Jillian Victoria Dietz, APN -CNP | |
9008 Indianapolis Blvd, Highland, IN 46322-2501 | |
(219) 513-8923 | |
(219) 513-8941 |
Full Name | Mrs Jillian Victoria Dietz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9008 Indianapolis Blvd, Highland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316214554 | NPI | - | NPPES |
300000084 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.009223 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209009223 (Indiana) | Primary |
Entity Name | Sanjay Patel Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437538246 PECOS PAC ID: 6800103425 Enrollment ID: O20150915001820 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jillian Victoria Dietz, APN -CNP Po Box 3063, Munster, IN 46321-0063 Ph: (219) 513-8923 | Mrs Jillian Victoria Dietz, APN -CNP 9008 Indianapolis Blvd, Highland, IN 46322-2501 Ph: (219) 513-8923 |
Megan Colburn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3449 Ridge Rd, Highland, IN 46322 Phone: 219-838-1100 | |
Jennifer Lynn Parkison, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3145 45th St, Highland, IN 46322 Phone: 219-922-9150 Fax: 219-922-9180 | |
Mrs. Christina Carlotta Natelborg, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9008 Indianapolis Blvd, Highland, IN 46322 Phone: 219-513-8923 | |
Irene Torres, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9008 Indianapolis Blvd, Highland, IN 46322 Phone: 219-513-8923 Fax: 219-513-8941 | |
Nneka Florence Robertson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8938 Branton Ave, Highland, IN 46322 Phone: 773-683-7153 | |
Dr. Marylynn Katherine Barnes, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 45th St, Highland, IN 46322 Phone: 219-922-6911 Fax: 219-922-6968 | |
Angela Lebeter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9696 Gordon Dr, Highland, IN 46322 Phone: 219-937-2511 |