| Jaekyung Jacey Cho, ARNP | |
|
3283 Willowcreek Rd, Portage, IN 46368-5054 | |
| (219) 764-8439 | |
| (219) 794-8463 |
| Full Name | Jaekyung Jacey Cho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3283 Willowcreek Rd, Portage, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548997612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71012901A (Indiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 28258410A (Indiana) | Secondary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaekyung Jacey Cho, ARNP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Jaekyung Jacey Cho, ARNP 3283 Willowcreek Rd, Portage, IN 46368-5054 Ph: (219) 764-8439 |
Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251 | |
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303 | |
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571 | |
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Kelly Pollard, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3156 Willowcreek Rd, Portage, IN 46368 Phone: 219-762-9444 Fax: 219-762-2288 | |
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787 |