Roberto Antonio Luna, NP | |
402 W Culver Rd, Knox, IN 46534-2200 | |
(574) 249-6160 | |
(574) 249-6178 |
Full Name | Roberto Antonio Luna |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 402 W Culver Rd, Knox, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942923198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71013109A (Indiana) | Primary |
163W00000X | Registered Nurse | 28200542A (Indiana) | Secondary |
Entity Name | Porter Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Entity Name | La Porte Clinic Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
Mailing Address | Practice Location Address |
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Roberto Antonio Luna, NP 402 W Culver Rd, Knox, IN 46534-2200 Ph: (574) 249-6160 | Roberto Antonio Luna, NP 402 W Culver Rd, Knox, IN 46534-2200 Ph: (574) 249-6160 |
Brooke V Butler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd, 106, Knox, IN 46534 Phone: 574-772-7400 Fax: 574-772-0299 | |
Jennifer R Frasure, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 Fax: 574-772-0894 | |
Ms. Melissa M Ilg, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 S Edgewood Dr, Knox, IN 46534 Phone: 574-772-4040 | |
Tiffany Marie Bowser, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 Fax: 574-772-0894 | |
Erin Duff, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 Fax: 574-772-0894 | |
Mrs. Renae Charlene Atkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 106, Knox, IN 46534 Phone: 574-772-7400 Fax: 574-772-0299 | |
Joos Moerland, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 |