| Geraldine Elizabeth Darkwood, FNP | |
|
1028 E Waterford St Ste A, Wakarusa, IN 46573-9305 | |
| (574) 862-2504 | |
| (574) 862-2505 |
| Full Name | Geraldine Elizabeth Darkwood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1028 E Waterford St Ste A, Wakarusa, 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 |
|---|---|---|---|
| 1730556267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71005762A (Indiana) | Primary |
| 163W00000X | Registered Nurse | 28144225A (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Ecs, Inc | 2163969650 | 230 |
| Extended Care Specialists, Inc | 2466407713 | 271 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240801002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Geraldine Elizabeth Darkwood, FNP 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Geraldine Elizabeth Darkwood, FNP 1028 E Waterford St Ste A, Wakarusa, IN 46573-9305 Ph: (574) 862-2504 |
Beth Ann Lockwood, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 106, Wakarusa, IN 46573 Phone: 574-900-1191 Fax: 574-900-1193 | |
Alexa Ann Nickelson, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 N Elkhart St, Wakarusa, IN 46573 Phone: 574-390-0241 Fax: 574-393-9943 |