| Heather A Carroll, FNP-BC | |
|
616 S Main St, Elkhart, IN 46516-3216 | |
| (574) 282-3230 | |
| (574) 282-3240 |
| Full Name | Heather A Carroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 616 S Main St, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689429854 | NPI | - | NPPES |
| 300093448 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71015192A (Indiana) | Primary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Carroll, FNP-BC 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: () - | Heather A Carroll, FNP-BC 616 S Main St, Elkhart, IN 46516-3216 Ph: (574) 282-3230 |
Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Mr. Kenneth Francis Raderstorf Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-266-5342 Fax: 574-266-5847 | |
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163 | |
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 | |
Ashley Marie Brunt, NURSE PRA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-524-7102 Fax: 574-389-4859 | |
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822 |