Mrs Lensa Gideon Girsha, BSN, MS, APN | |
417 S Whitlock St, Bremen, IN 46506-1626 | |
(574) 546-3730 | |
Not Available |
Full Name | Mrs Lensa Gideon Girsha |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 417 S Whitlock St, Bremen, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013242080 | NPI | - | NPPES |
201253250 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 28163955A (Indiana) | Primary |
Entity Name | Aims Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376072785 PECOS PAC ID: 6406126572 Enrollment ID: O20170721002478 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lensa Gideon Girsha, BSN, MS, APN 707 E Cedar St, Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8707 | Mrs Lensa Gideon Girsha, BSN, MS, APN 417 S Whitlock St, Bremen, IN 46506-1626 Ph: (574) 546-3730 |
Kimberly Kay Dietrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330 | |
Sharlotte Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 | |
Alyssa Ingle, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 |