| Dawn Marie Mahaffey, FNP | |
|
6910 N Main St Unit 4, Granger, IN 46530-9681 | |
| (574) 281-0202 | |
| (574) 990-4409 |
| Full Name | Dawn Marie Mahaffey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 6910 N Main St Unit 4, Granger, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033639679 | NPI | - | NPPES |
| 28197241A | Other | IN | RN LICENSE |
| 300086931 | Medicaid | IN | |
| 300006504 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71007502A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71007502A (Indiana) | Primary |
| Entity Name | Villagemd Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336676923 PECOS PAC ID: 3476813544 Enrollment ID: O20180209001231 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191025000956 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20240220002324 |
| Entity Name | True Health Experience Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700656022 PECOS PAC ID: 5294171195 Enrollment ID: O20240314000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Marie Mahaffey, FNP 684 E 950 N, Westville, IN 46391-9446 Ph: (219) 508-0510 | Dawn Marie Mahaffey, FNP 6910 N Main St Unit 4, Granger, IN 46530-9681 Ph: (574) 281-0202 |
Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Emily Peak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161 | |
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240 |