| Gladys Hernandez, | |
|
5818 Columbia Ave, Hammond, IN 46320-2607 | |
| (219) 261-5451 | |
| Not Available |
| Full Name | Gladys Hernandez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5818 Columbia Ave, Hammond, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932890514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28223517A (Indiana) | Primary |
| Entity Name | Midwest Pain Management Centers,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962401745 PECOS PAC ID: 5496654618 Enrollment ID: O20040112000257 |
| Entity Name | Pain Management Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881693562 PECOS PAC ID: 9032134770 Enrollment ID: O20051011001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys Hernandez, 5818 Columbia Ave, Hammond, IN 46320-2607 Ph: () - | Gladys Hernandez, 5818 Columbia Ave, Hammond, IN 46320-2607 Ph: (219) 261-5451 |
Amanda Vagelatos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2250 173rd St, Hammond, IN 46323 Phone: 765-494-0111 | |
Tamika Banks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5818 Columbia Ave, Hammond, IN 46320 Phone: 219-261-5451 | |
Mrs. Breanna Marie Matheny, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1009 5th Ave, Hammond, IN 46320 Phone: 219-473-0722 | |
Miyako S Streeter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Dale Poortenga, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Midwest Express Clinic, 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Kristen Karanovic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Dana Joy Hiskes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 Fax: 219-802-8801 |