| Nancy Jane Paunicka, RN MS-FNP-CS | |
|
3777 North Frontage Road, Michigan City, IN 46360-7694 | |
| (219) 877-3880 | |
| (219) 879-6365 |
| Full Name | Nancy Jane Paunicka |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3777 North Frontage Road, 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 |
|---|---|---|---|
| 1841287299 | NPI | - | NPPES |
| 000000772332 | Other | IN | ANTHEM BCBS |
| M400075623 | Other | IN | MEDICARE PTAN |
| 200083140 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71000141A (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Jane Paunicka, RN MS-FNP-CS Po Box 1690, La Porte, IN 46352-1690 Ph: (219) 326-2312 | Nancy Jane Paunicka, RN MS-FNP-CS 3777 North Frontage Road, Michigan City, IN 46360-7694 Ph: (219) 877-3880 |
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 |