| Alyssa Ingle, DNP, APRN, FNP-BC | |
|
1144 W Plymouth St, Bremen, IN 46506-1842 | |
| (574) 546-5363 | |
| Not Available |
| Full Name | Alyssa Ingle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1144 W Plymouth St, Bremen, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841927449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28223644A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71012664A (Indiana) | Primary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Alyssa Ingle, DNP, APRN, FNP-BC 4 Ironwood Rd, Bremen, IN 46506-9640 Ph: (574) 485-9058 | Alyssa Ingle, DNP, APRN, FNP-BC 1144 W Plymouth St, Bremen, IN 46506-1842 Ph: (574) 546-5363 |
Mrs. Lensa Gideon Girsha, BSN, MS, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-3730 | |
Kimberly Kay Dietrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330 | |
Sharlotte Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 | |
Ernest Dontae Young, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330 | |
Bethany Metz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575 |