Ms Kristine Marie Weaver, FNP-BC | |
232 S Main St Ste A, Culver, IN 46511 | |
(574) 335-7780 | |
(574) 335-0730 |
Full Name | Ms Kristine Marie Weaver |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 232 S Main St Ste A, Culver, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437309838 | NPI | - | NPPES |
187720061 | Other | IN | MEDICARE |
000000878284 | Other | IN | BCBS |
P01942591 | Other | IN | RR MEDICARE |
000001170309 | Other | IN | BCBS (ELM RD) |
200936570 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71002758A (Indiana) | Primary |
Entity Name | Riverview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
Entity Name | Healogics Specialty Physicians Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396145975 PECOS PAC ID: 3678874567 Enrollment ID: O20151218000074 |
Entity Name | Mp Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871202341 PECOS PAC ID: 5991174138 Enrollment ID: O20221212000909 |
Mailing Address | Practice Location Address |
---|---|
Ms Kristine Marie Weaver, FNP-BC 707 Cedar St Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8707 | Ms Kristine Marie Weaver, FNP-BC 232 S Main St Ste A, Culver, IN 46511 Ph: (574) 335-7780 |
Karissa Rae Toupin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Academy Rd # 137, Culver, IN 46511 Phone: 574-842-7852 |