| Benjamin Cale Friesen, | |
|
1915 Lake Ave, Plymouth, IN 46563-9366 | |
| (574) 948-4000 | |
| Not Available |
| Full Name | Benjamin Cale Friesen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1915 Lake Ave, Plymouth, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366905275 | NPI | - | NPPES |
| 28203358A | Other | INDIANA STATE BOARD OF NURSING | |
| 71008991A | Other | IN | ANP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 28203358A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71008991A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 692 |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | 9537071337 | 12 |
| 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 | Apogee Medical Group Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093973885 PECOS PAC ID: 8729155742 Enrollment ID: O20080917000320 |
| Entity Name | Informe Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407343965 PECOS PAC ID: 8123375474 Enrollment ID: O20180723000258 |
| Entity Name | Informe Healthcare In Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992276638 PECOS PAC ID: 9537407770 Enrollment ID: O20190213000486 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871178368 PECOS PAC ID: 3678464633 Enrollment ID: O20210709002087 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Cale Friesen, 56765 County Road 23, Bristol, IN 46507-9516 Ph: (574) 238-8372 | Benjamin Cale Friesen, 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 | |
Alissa Whittaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 N Michigan St, Plymouth, IN 46563 Phone: 574-936-2643 Fax: 574-540-4001 | |
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 |