| Beth Ann Lockwood, FNP-C | |
|
Po Box 106, Wakarusa, IN 46573-0106 | |
| (574) 900-1191 | |
| (574) 900-1193 |
| Full Name | Beth Ann Lockwood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Po Box 106, Wakarusa, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306297858 | NPI | - | NPPES |
| 300012921 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71007836A (Indiana) | Primary |
| Entity Name | Michiana Internal Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467571570 PECOS PAC ID: 2466543491 Enrollment ID: O20070806000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Ann Lockwood, FNP-C Po Box 106, Wakarusa, IN 46573-0106 Ph: (574) 900-1191 | Beth Ann Lockwood, FNP-C Po Box 106, Wakarusa, IN 46573-0106 Ph: (574) 900-1191 |
Alexa Ann Nickelson, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 N Elkhart St, Wakarusa, IN 46573 Phone: 574-390-0241 Fax: 574-393-9943 | |
Geraldine Elizabeth Darkwood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1028 E Waterford St Ste A, Wakarusa, IN 46573 Phone: 574-862-2504 Fax: 574-862-2505 |