Kelly Schoon, | |
10736 Randolph St, Winfield, IN 46307-7983 | |
(219) 243-8140 | |
Not Available |
Full Name | Kelly Schoon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10736 Randolph St, Winfield, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134996390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71014725A (Indiana) | Primary |
Entity Name | Fast Pace Medical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
Mailing Address | Practice Location Address |
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Kelly Schoon, Po Box 306417, Nashville, TN 37230-6417 Ph: () - | Kelly Schoon, 10736 Randolph St, Winfield, IN 46307-7983 Ph: (219) 243-8140 |
Rebecca J Groen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10736 Randolph St, Winfield, IN 46307 Phone: 219-243-8140 | |
Rosario Meza, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 E 107th Ct, Winfield, IN 46307 Phone: 219-472-0309 Fax: 219-472-0089 | |
Israel Nieto, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10736 Randolph St, Winfield, IN 46307 Phone: 931-253-1110 |