| Heather Gordy, NP | |
|
611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 | |
| (574) 335-6850 | |
| (574) 335-0849 |
| Full Name | Heather Gordy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 611 E Douglas Rd Ste 200, Mishawaka, 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 |
|---|---|---|---|
| 1417619982 | NPI | - | NPPES |
| 1102223470 | Other | IN | ANTHEM |
| 300057950 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71012042A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Bend Emergency Physicians Inc | 0941282354 | 44 |
| Saint Joseph Regional Medical Center Inc | 8325950843 | 107 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20140422001842 |
| Entity Name | South Bend Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Gordy, NP 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () - | Heather Gordy, NP 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 Ph: (574) 335-6850 |
Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240 | |
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516 | |
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321 | |
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700 | |
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 | |
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400 |