Sylvia Joy Zakusilov, NP | |
600 East Blvd, Elkhart, IN 46514-2483 | |
(574) 523-3160 | |
Not Available |
Full Name | Sylvia Joy Zakusilov |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 600 East Blvd, Elkhart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174838684 | NPI | - | NPPES |
000000672495 | Other | IN | ANTHEM |
200994950 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 28164101A (Indiana) | Primary |
Entity Name | Pic Indiana Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110 |
Mailing Address | Practice Location Address |
---|---|
Sylvia Joy Zakusilov, NP Po Box 1241, South Bend, IN 46624-1241 Ph: (885) 691-9888 | Sylvia Joy Zakusilov, NP 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 523-3160 |
Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Mr. Kenneth Francis Raderstorf Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-266-5342 Fax: 574-266-5847 | |
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163 | |
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822 | |
Ann R. Moore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Arcade Ave, Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891 |