| Rylee Hackworth, PA | |
|
2500 N Detroit St, Lagrange, IN 46761-1158 | |
| (260) 463-2133 | |
| (260) 463-3775 |
| Full Name | Rylee Hackworth |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2500 N Detroit St, Lagrange, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063104719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10004694A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rylee Hackworth, PA Po Box 236, Lagrange, IN 46761-0236 Ph: (260) 463-2133 | Rylee Hackworth, PA 2500 N Detroit St, Lagrange, IN 46761-1158 Ph: (260) 463-2133 |
Andrea Budzon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Eleonor Vanover, NP-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Krista Jackson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Mrs. Chana Nicole Goodin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 |