David Enoch Nelson Sr, NP-C | |
4900 Broadway, Gary, IN 46408-4605 | |
(219) 237-5170 | |
(219) 321-1931 |
Full Name | David Enoch Nelson Sr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 4900 Broadway, Gary, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922302140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28149900A (Indiana) | Primary |
363LF0000X | Nurse Practitioner - Family | 041330644 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Hospitals Inc | Gary, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oak Street Health Physicians Group Pc | 7517109879 | 187 |
Entity Name | Oak Street Health Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20150608000402 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
Entity Name | Openloop Healthcare Partners Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20211116002152 |
Mailing Address | Practice Location Address |
---|---|
David Enoch Nelson Sr, NP-C 213 N Racine Ave, Ste 100, Chicago, IL 60607-1644 Ph: (312) 733-9730 | David Enoch Nelson Sr, NP-C 4900 Broadway, Gary, IN 46408-4605 Ph: (219) 237-5170 |
Mrs. Amanda Joy Dech, MSN/FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3229 Broadway Ste 205, Gary, IN 46409 Phone: 219-806-3000 | |
Mrs. Laresse Harris, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mrs. Nkechi Pauline Onyeukwu, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512 | |
Miss Nathalie Maherani Batchassi, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Grant St, Gary, IN 46404 Phone: 219-882-9900 | |
Michelle Wathier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 | |
Akeem Olasunkanmi Kareem, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mr. Darnell Rather, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 |