| Carly Dearth, | |
|
5521 W Lincoln Hwy, Crown Point, IN 46307-1097 | |
| (219) 769-1362 | |
| Not Available |
| Full Name | Carly Dearth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 5521 W Lincoln Hwy, Crown Point, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689249294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209022620 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Wholehealth Pllc | 6002169539 | 290 |
| Midwest Express Care 4 Llc | 4284909615 | 63 |
| Eventus Ecs, Inc | 2163969650 | 251 |
| Eventus Wh Southeast, Llc | 5496294456 | 231 |
| Extended Care Specialists, Inc | 2466407713 | 286 |
| Eventus Ecs, Inc | 2163969650 | 251 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Entity Name | Eventus Wh Southeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487494811 PECOS PAC ID: 5496294456 Enrollment ID: O20240822002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Dearth, 7028 E 110th Ln, Crown Point, IN 46307-9433 Ph: () - | Carly Dearth, 5521 W Lincoln Hwy, Crown Point, IN 46307-1097 Ph: (219) 769-1362 |
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St # 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770 | |
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Anita D Arthur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Jennifer Lee Virgl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Brandy Michelle Cook, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St # 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 |