Mrs Kelly Marie Mcshane, NP | |
301 W Homer St, Michigan City, IN 46360-4358 | |
(219) 488-7781 | |
Not Available |
Full Name | Mrs Kelly Marie Mcshane |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 301 W Homer St, Michigan City, 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 |
---|---|---|---|
1598073231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28170048A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Network Inc | 3678737012 | 346 |
Entity Name | Community Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Marie Mcshane, NP 10420 Bull Run Dr, Saint John, IN 46373-9109 Ph: (219) 488-7781 | Mrs Kelly Marie Mcshane, NP 301 W Homer St, Michigan City, IN 46360-4358 Ph: (219) 488-7781 |
Carol Lynn Parks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360 Phone: 219-879-6531 | |
Jason C Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511 Fax: 219-877-2000 | |
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Todd Noel Wolford, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360 Phone: 219-809-9839 Fax: 219-809-9841 | |
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