| Jamie M Markulin, AGCNS-BC | |
|
9120 Columbia Ave, Munster, IN 46321-2907 | |
| (219) 703-5301 | |
| (219) 703-6718 |
| Full Name | Jamie M Markulin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 9120 Columbia Ave, Munster, 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 |
|---|---|---|---|
| 1457096935 | NPI | - | NPPES |
| 300061751 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 71012539A (Indiana) | Primary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 28204648A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Munster, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Network Inc | 3678737012 | 360 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie M Markulin, AGCNS-BC 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084 | Jamie M Markulin, AGCNS-BC 9120 Columbia Ave, Munster, IN 46321-2907 Ph: (219) 703-5301 |
Julie Ann Mantis, MS, RN, CNS, BC-ADM, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-703-1013 Fax: 219-836-7983 | |
Ms. Stephanie Bandstra, RN, MSN, ACNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 | |
Mrs. Christina Marie Outlaw, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 195-950-0432 Fax: 219-237-2894 | |
Mrs. Opal K Porras, APRN, CWON-AP, CCCN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 901 Macarthur Blvd, Would Ostomy Clinic, Munster, IN 46321 Phone: 219-836-7713 Fax: 219-836-7058 | |
Molly B Janovsky, APRN-BC, CWOCN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Wound Ostomy Clinic, Munster, IN 46321 Phone: 219-836-7713 Fax: 219-836-7083 | |
Lorraine Kay Widdall, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 8317 Calumet Ave, Munster, IN 46321 Phone: 219-513-2333 Fax: 219-513-1127 |