Tracy Banghart, NP | |
1331 State St Ste 340, La Porte, IN 46350-3112 | |
(219) 324-0875 | |
(219) 324-0827 |
Full Name | Tracy Banghart |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1331 State St Ste 340, La Porte, 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 |
---|---|---|---|
1689332041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0100X | Registered Nurse - Gastroenterology | 71011976A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71011976A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
La Porte Hospital | La porte, IN | Hospital |
Indiana University Health Starke Hospital | Knox, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
La Porte Clinic Company Llc | 0446558357 | 61 |
Entity Name | La Porte Clinic Company Llc |
---|---|
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 |
---|---|
Tracy Banghart, NP 1331 State St Ste 340, La Porte, IN 46350-3112 Ph: (219) 324-0875 | Tracy Banghart, NP 1331 State St Ste 340, La Porte, IN 46350-3112 Ph: (219) 324-0875 |
Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802 | |
Tami Clinkenbeard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Newporte Blvd, La Porte, IN 46350 Phone: 219-326-1775 Fax: 219-326-1951 | |
Kimberly Minich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377 | |
April Donald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246 | |
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-878-5645 | |
Sandra R Gates-manna, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-325-5434 Fax: 219-325-7655 | |
Diane E Spoljoric, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6916 W Johnson Rd, La Porte, IN 46350 Phone: 219-326-7337 Fax: 219-814-4228 |