Tracy Elizabeth Blanton, NP | |
1007 Lincolnway, La Porte, IN 46350-3201 | |
(219) 325-5474 | |
(219) 325-5456 |
Full Name | Tracy Elizabeth Blanton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1007 Lincolnway, La Porte, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508290289 | NPI | - | NPPES |
PENDING | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 28118993A (Indiana) | Primary |
Entity Name | Indiana University Health La Porte Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760593776 PECOS PAC ID: 0345147963 Enrollment ID: O20031212000670 |
Mailing Address | Practice Location Address |
---|---|
Tracy Elizabeth Blanton, NP 1007 Lincolnway, La Porte, IN 46350-3201 Ph: (219) 325-5474 | Tracy Elizabeth Blanton, NP 1007 Lincolnway, La Porte, IN 46350-3201 Ph: (219) 325-5474 |
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 |