| Dr Kathleen B Baeverstad, MD | |
|
353 N Oak St, Columbia City, IN 46725-1623 | |
| (260) 248-9000 | |
| Not Available |
| Full Name | Dr Kathleen B Baeverstad |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 353 N Oak St, Columbia City, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821083221 | NPI | - | NPPES |
| 000000082521 | Other | IN | ANTHEM |
| 000000008456 | Other | MPLAN | |
| 0801832 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01032868A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathleen B Baeverstad, MD 2414 E State Blvd, Suite 202, Fort Wayne, IN 46805-4760 Ph: (260) 482-4440 | Dr Kathleen B Baeverstad, MD 353 N Oak St, Columbia City, IN 46725-1623 Ph: (260) 248-9000 |
Jaime R Hajjari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E State Road 205, Columbia City, IN 46725 Phone: 260-248-9000 Fax: 260-482-4442 | |
Dr. David L Hurley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1260 E State Road 205, Columbia City, IN 46725 Phone: 260-248-9411 Fax: 260-248-9135 |