| Chau Thi Minh Dang, | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (219) 852-1524 | |
| (219) 933-2288 |
| Full Name | Chau Thi Minh Dang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 24 Joliet St, Dyer, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508506668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28224615A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71012543A (Indiana) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Chau Thi Minh Dang, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Chau Thi Minh Dang, 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 852-1524 |
Angela M Purcell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Joliet St, Dyer, IN 46311 Phone: 219-440-7340 | |
Mrs. Milica Ivanov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1532 Calumet Ave, Dyer, IN 46311 Phone: 219-515-4700 | |
Lady Margarette Tan, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1462 Knighthood Dr, Dyer, IN 46311 Phone: 508-542-5129 | |
Scott T Fairhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Jaclyn Gale Seremet, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 Richard Rd Ste 2, Dyer, IN 46311 Phone: 219-322-1450 Fax: 219-322-8260 | |
Lisa O'keefe, R.N., A.G.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 | |
Mrs. Isabelle Marie Skurka, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311 Phone: 219-865-0893 Fax: 219-865-3599 |