| Gia Chezvon Short, PMHNP-BC | |
|
100 W Chicago Ave Ste F, East Chicago, IN 46312-3261 | |
| (219) 392-7016 | |
| (219) 397-6904 |
| Full Name | Gia Chezvon Short |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 100 W Chicago Ave Ste F, East Chicago, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578339065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71015877A (Indiana) | Primary |
| Entity Name | 219 Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Gia Chezvon Short, PMHNP-BC 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084 | Gia Chezvon Short, PMHNP-BC 100 W Chicago Ave Ste F, East Chicago, IN 46312-3261 Ph: (219) 392-7016 |
Zalak Patel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4320 Fir St Unit 320, East Chicago, IN 46312 Phone: 219-392-7992 Fax: 219-392-7987 | |
Lilia Ivette Bonilla, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 W Chicago Ave, East Chicago, IN 46312 Phone: 219-398-9685 Fax: 219-398-9695 | |
Ivan Aryee, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4320 Fir St Ste 4141, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 | |
Marquita Henson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 | |
Adebowale Osisanya, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 | |
Selena Samardzich, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4320 Fir St Unit 220, East Chicago, IN 46312 Phone: 219-836-2995 Fax: 219-836-4075 | |
Alexandra Halkias, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7200 |