| Beth Ann Dekoninck, NP-C | |
|
207 E Meadow Rd Ste 6, Eden, NC 27288-3469 | |
| (219) 204-1854 | |
| Not Available |
| Full Name | Beth Ann Dekoninck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 207 E Meadow Rd Ste 6, Eden, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285693960 | NPI | - | NPPES |
| 200169950 | Medicaid | IN | |
| 000000372024 | Other | IN | ANTHEM PROVIDER NUMBER |
| 9397614 | Other | IN | PHCS PID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 71000315A (Indiana) | Primary |
| Entity Name | Compassion Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134201387 PECOS PAC ID: 4082602388 Enrollment ID: O20040626000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Ann Dekoninck, NP-C 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 Ph: (219) 204-1854 | Beth Ann Dekoninck, NP-C 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 Ph: (219) 204-1854 |
Keavie C. Hairfield, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Thompson St, Eden, NC 27288 Phone: 336-627-4896 Fax: 336-627-0139 | |
Gina L Varner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 W Kings Hwy, Eden, NC 27288 Phone: 336-864-2795 Fax: 336-694-7511 | |
Elsa Campos Bucio, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 E Meadow Rd Ste 6, Eden, NC 27288 Phone: 363-864-2795 Fax: 336-694-7511 | |
Mrs. Lisa Northcott Stover, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 247 Country Club Dr, Eden, NC 27288 Phone: 919-883-8106 | |
Ms. Betty J Marshall, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 518 S Van Buren Rd, Ste 2, Eden, NC 27288 Phone: 336-635-6806 | |
Susan D Pappas, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Thompson St Ste D, Eden, NC 27288 Phone: 336-627-5178 Fax: 336-627-0727 | |
Kelly B Erskine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 S Van Buren Rd, Eden, NC 27288 Phone: 336-627-1117 Fax: 336-627-5502 |