Patricia R Fettig, NP | |
10731 N State Road 13, Elwood, IN 46036-8874 | |
(765) 552-5009 | |
(765) 552-8347 |
Full Name | Patricia R Fettig |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10731 N State Road 13, Elwood, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760633267 | NPI | - | NPPES |
000000802585 | Other | IN | ANTHEM |
201006170 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71002768A (Indiana) | Primary |
Entity Name | Aspire Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190 |
Entity Name | Aspire Indiana Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780068288 PECOS PAC ID: 8921314196 Enrollment ID: O20150902001749 |
Mailing Address | Practice Location Address |
---|---|
Patricia R Fettig, NP 9615 E 148th St, Suite 1, Noblesville, IN 46060-4360 Ph: (317) 587-0500 | Patricia R Fettig, NP 10731 N State Road 13, Elwood, IN 46036-8874 Ph: (765) 552-5009 |
Tammy J Biele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 S 19th St, Elwood, IN 46036 Phone: 765-552-7346 Fax: 765-552-3351 | |
Audrey R Alcala, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 S 19th St, Elwood, IN 46036 Phone: 765-298-2800 Fax: 765-298-2820 | |
Mrs. Nanette L Gray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7408 W State Road 28 Ste 1, Elwood, IN 46036 Phone: 765-501-8566 | |
Ms. Jennifer Ann Holcomb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 Parkview Ln, Elwood, IN 46036 Phone: 765-203-2672 | |
Kerry Anne Kane, APRN BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S R St, Elwood, IN 46036 Phone: 765-552-7316 Fax: 765-552-7306 |