Tawanda Leflore, | |
10860 Maple Ln, Saint John, IN 46373-8418 | |
(219) 365-7000 | |
(219) 365-2609 |
Full Name | Tawanda Leflore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10860 Maple Ln, Saint John, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730841271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 041363505 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71012047A (Indiana) | Primary |
Entity Name | Centers For Pain Control, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790920452 PECOS PAC ID: 7416019450 Enrollment ID: O20081229000343 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Entity Name | Nwi Urgent Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
Mailing Address | Practice Location Address |
---|---|
Tawanda Leflore, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Tawanda Leflore, 10860 Maple Ln, Saint John, IN 46373-8418 Ph: (219) 365-7000 |
Margarita Vega-suarez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, 2nd Fl, Saint John, IN 46373 Phone: 219-703-2417 Fax: 219-703-6947 | |
Unyime Ekanem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9915 Hunters Run, Saint John, IN 46373 Phone: 618-203-2217 | |
Ms. Alicia Fowler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Marne J Juestel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Joanne Weisz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Samara Ruder, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8183 Magoun Dr, Saint John, IN 46373 Phone: 219-798-3562 |