Anna K Kragt, MD | |
206 W. Warren St, Middlebury, IN 46540-0459 | |
(574) 825-2146 | |
(574) 524-7435 |
Full Name | Anna K Kragt |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 206 W. Warren St, Middlebury, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003838293 | NPI | - | NPPES |
200101330 | Medicaid | IN | |
236040026 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01045002A (Indiana) | Primary |
Entity Name | Beacon Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Anna K Kragt, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Anna K Kragt, MD 206 W. Warren St, Middlebury, IN 46540-0459 Ph: (574) 825-2146 |
Norman S. Waggy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 W. Warren Street, Middlebury, IN 46540 Phone: 574-825-2146 Fax: 574-825-2182 | |
Jonathan Spero, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 407 N Main St, Middlebury, IN 46540 Phone: 630-730-0364 Fax: 630-206-1255 | |
Dr. William Weybright, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 226 Us Highway 20, Middlebury, IN 46540 Phone: 574-825-8068 Fax: 574-825-4873 | |
G. Weldon Friesen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-825-2146 Fax: 574-825-2182 | |
Rachel E. Dunham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-825-2146 Fax: 574-825-2182 | |
Dr. Neelamkumar V Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 226 Us Highway 20, Middlebury, IN 46540 Phone: 574-825-8068 Fax: 574-825-4873 |