Ms Melissa L Wilson, FNP-BC | |
710 Franklin St Ste 200, Michigan City, IN 46360-3564 | |
(219) 872-6200 | |
(219) 879-2915 |
Full Name | Ms Melissa L Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 710 Franklin St Ste 200, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831422518 | NPI | - | NPPES |
M400073411 | Other | IN | MEDICARE PTAN |
201028850 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71003029A (Indiana) | Primary |
Entity Name | Indiana University Health La Porte Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760593776 PECOS PAC ID: 0345147963 Enrollment ID: O20031212000670 |
Entity Name | Healthlinc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
Mailing Address | Practice Location Address |
---|---|
Ms Melissa L Wilson, FNP-BC 710 Franklin St Ste 200, Michigan City, IN 46360-3564 Ph: (219) 872-6200 | Ms Melissa L Wilson, FNP-BC 710 Franklin St Ste 200, Michigan City, IN 46360-3564 Ph: (219) 872-6200 |
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 | |
Donald Ernest Greer Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511 | |
Kaci Bauske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-831-8740 Fax: 219-877-1029 | |
Nichole M Shultz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 121-987-3291 Fax: 219-873-2909 | |
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 | |
Kristen R Novak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360 Phone: 219-872-6566 |