| Monarch Health & Wellness | |
|
7590 E 109th Ave Crown Point IN 46307-8631 | |
| (219) 240-1582 | |
| (219) 209-5148 |
| Full Name | Monarch Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 7590 E 109th Ave, Crown Point, Indiana |
| Authorized Official Name and Position | Cassie Layne (NURSE PRACTITIONER/CEO) |
| Authorized Official Contact | 2199645020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Health & Wellness 4534 E 104th Ave Crown Point IN 46307-7407 Ph: (219) 964-5020 | Monarch Health & Wellness 7590 E 109th Ave Crown Point IN 46307-8631 Ph: (219) 240-1582 |
| NPI Number | 1205570025 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Medicare PECOS PAC ID | 6406222942 |
|---|---|
| Medicare Enrollment ID | O20221025000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205570025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Desiree E Samples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285992297 PECOS PAC ID: 0042458697 Enrollment ID: I20130521000528 |
| Provider Name | Cassie Rana Layne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841790672 PECOS PAC ID: 4082975271 Enrollment ID: I20180305000835 |
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