| Diana Rose Poortenga, | |
|
8135 Calumet Ave, Munster, IN 46321-1701 | |
| (219) 513-2000 | |
| Not Available |
| Full Name | Diana Rose Poortenga |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 8135 Calumet Ave, Munster, 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 |
|---|---|---|---|
| 1780207332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28213590A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Express Care 4 Llc | 4284909615 | 59 |
| Midwest Express Care, Inc | 5193957595 | 25 |
| Nwi Urgent Care, Llc | 7618142977 | 37 |
| Entity Name | Nwi Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
| Entity Name | Midwest Express Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942642848 PECOS PAC ID: 5193957595 Enrollment ID: O20140417002077 |
| Entity Name | Midwest Express Care 4 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629502810 PECOS PAC ID: 4284909615 Enrollment ID: O20180131001651 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Rose Poortenga, 8135 Calumet Ave, Munster, IN 46321-1701 Ph: (219) 513-2000 | Diana Rose Poortenga, 8135 Calumet Ave, Munster, IN 46321-1701 Ph: (219) 513-2000 |
Maribel Alvarez, Registered Nurse Medicare: Medicare Enrolled Practice Location: 8135 Calumet Ave, Munster, IN 46321 Phone: 219-513-2000 | |
Victoria Lee Golden, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1925 Tulip Ln, Munster, IN 46321 Phone: 219-359-0803 | |
Mrs. Annette Zora Desancic, RN, BSN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 144-321-9703 | |
Stacy Nicole Sanchez, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8023 Madison Ave, Munster, IN 46321 Phone: 219-902-3547 | |
Mrs. Kristina Marie Derolf, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 | |
Jeffrin Lozano, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 801 Macarthur Blvd Ste 305, Munster, IN 46321 Phone: 219-703-2401 Fax: 219-703-6687 | |
Sarah Paulson, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 |