Ms Alicia Fowler, NP-C | |
9660 Wicker Ave, Saint John, IN 46373-9487 | |
(219) 365-1177 | |
Not Available |
Full Name | Ms Alicia Fowler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 9660 Wicker Ave, Saint John, 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 |
---|---|---|---|
1093284838 | NPI | - | NPPES |
1285182147 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71008715A (Indiana) | Primary |
363LF0000X | Nurse Practitioner - Family | F10180063 (Indiana) | Secondary |
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 |
---|---|
Ms Alicia Fowler, NP-C 1516 W Ash St, Griffith, IN 46319-3760 Ph: () - | Ms Alicia Fowler, NP-C 9660 Wicker Ave, Saint John, IN 46373-9487 Ph: (219) 365-1177 |
Margarita Vega-suarez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, 2nd Fl, Saint John, IN 46373 Phone: 219-703-2417 Fax: 219-703-6947 | |
Unyime Ekanem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9915 Hunters Run, Saint John, IN 46373 Phone: 618-203-2217 | |
Marne J Juestel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Joanne Weisz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Samara Ruder, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8183 Magoun Dr, Saint John, IN 46373 Phone: 219-798-3562 | |
Tawanda Leflore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10860 Maple Ln, Saint John, IN 46373 Phone: 219-365-7000 Fax: 219-365-2609 |