| Aimee Clady, | |
|
1915 Lake Ave, Plymouth, IN 46563-9366 | |
| (574) 948-4000 | |
| Not Available |
| Full Name | Aimee Clady |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1915 Lake Ave, Plymouth, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902345879 | NPI | - | NPPES |
| 300002047 | Medicaid | IN | |
| 000001075406 | Other | IN | BCBS |
| 187720013 | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28123070A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71007043A (Indiana) | Primary |
| Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Aimee Clady, 16310 Pretty Lake Rd, Plymouth, IN 46563-9458 Ph: (574) 780-0354 | Aimee Clady, 1915 Lake Ave, Plymouth, IN 46563-9366 Ph: (574) 948-4000 |
Jessica Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-523-3160 | |
Kimberley Kay Mendez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 W Adams St Ste 150, Plymouth, IN 46563 Phone: 574-335-7900 Fax: 574-335-0850 | |
Eric Eugene Spohn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 Illinois St, Plymouth, IN 46563 Phone: 574-936-9646 | |
Marla M Troyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-335-0745 | |
Mrs. Julie Marie Brandy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 119, Plymouth, IN 46563 Phone: 574-941-1000 Fax: 574-941-1075 | |
Lauren Grace Arias, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-540-2052 Fax: 574-540-2540 | |
Kathryn Lynn Zehr, DNP, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 110, Plymouth, IN 46563 Phone: 574-948-5290 Fax: 574-948-5495 |