| Carrie B Price, NP | |
|
6326 Constitution Dr, Fort Wayne, IN 46804-1518 | |
| (260) 515-3275 | |
| (888) 803-6843 |
| Full Name | Carrie B Price |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6326 Constitution Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275891640 | NPI | - | NPPES |
| 000000911955 | Other | ANTHEM | |
| 0066704 | Medicaid | OH | |
| 201071630 | Medicaid | IN | |
| PO1445373 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71003963A (Indiana) | Primary |
| Entity Name | Fort Wayne Orthopaedics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497758429 PECOS PAC ID: 7618965286 Enrollment ID: O20040503001253 |
| Entity Name | Lutheran Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Entity Name | Rp Wound Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427790500 PECOS PAC ID: 0941696181 Enrollment ID: O20220415000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie B Price, NP 6326 Constitution Dr, Fort Wayne, IN 46804-1518 Ph: (260) 515-3275 | Carrie B Price, NP 6326 Constitution Dr, Fort Wayne, IN 46804-1518 Ph: (260) 515-3275 |
Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911 | |
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275 | |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911 | |
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672 | |
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3898 New Vision Dr Bldg M, Fort Wayne, IN 46845 Phone: 260-425-4050 | |
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455 |