Sandra Duggan, FNP-C | |
400 Pilgrim Blvd, Hartford City, IN 47348-1382 | |
(765) 348-5776 | |
(765) 348-3088 |
Full Name | Sandra Duggan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 400 Pilgrim Blvd, Hartford City, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861869513 | NPI | - | NPPES |
000000994969 | Other | IN | ANTHEM |
P01635454 | Other | IN | RR MEDICARE |
201348280 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 28192064A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71005780A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Blackford Hospital Inc | 2668381971 | 11 |
Entity Name | Indiana University Health Blackford Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265021109 PECOS PAC ID: 2668381971 Enrollment ID: O20031105000567 |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Mailing Address | Practice Location Address |
---|---|
Sandra Duggan, FNP-C 1200 W White River Blvd, Rcs Provider Enrollment, Muncie, IN 47303-4988 Ph: (765) 254-4009 | Sandra Duggan, FNP-C 400 Pilgrim Blvd, Hartford City, IN 47348-1382 Ph: (765) 348-5776 |
Mckenzie L Hinshaw, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 N Walnut St, Hartford City, IN 47348 Phone: 765-348-1100 Fax: 765-348-9717 | |
Chantel S Willmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-5776 Fax: 765-348-8335 | |
Malisha Dawn Morris, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 421 E North St Unit A, Hartford City, IN 47348 Phone: 817-876-9653 | |
Kaitlyn Marie Ort, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-5776 | |
Ms. Lou Cook Kline, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2008 N Walnut St, Hartford City, IN 47348 Phone: 931-253-1110 |