| Gina Gordenier, | |
|
515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 | |
| (574) 607-4724 | |
| (574) 607-4725 |
| Full Name | Gina Gordenier |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 515 Park Place Cir Ste 200, Mishawaka, 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 |
|---|---|---|---|
| 1659193928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 71015969A (Indiana) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 71015969A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney Care Of Michiana Llc | 7810149309 | 6 |
| Entity Name | Kidney Care Of Michiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093067530 PECOS PAC ID: 7810149309 Enrollment ID: O20121207000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Gordenier, 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 Ph: (574) 607-4724 | Gina Gordenier, 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 Ph: (574) 607-4724 |
Kyla M Schauss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240 | |
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516 | |
Amy M Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5314 Lincolnway E, Mishawaka, IN 46544 Phone: 574-584-2812 Fax: 574-584-2813 | |
Laura Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 W Mckinley Ave, Mishawaka, IN 46545 Phone: 574-282-3230 | |
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321 | |
Shea Lee Warner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700 | |
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 |