| Josephine Mwachande, | |
|
2100 N Main St Ste 304, Crown Point, IN 46307-1877 | |
| (574) 546-1900 | |
| (574) 546-1999 |
| Full Name | Josephine Mwachande |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2100 N Main St Ste 304, Crown Point, 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 |
|---|---|---|---|
| 1073184206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AG02210087 (Indiana) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 71011403A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Ecs, Inc | 2163969650 | 230 |
| Extended Care Specialists, Inc | 2466407713 | 271 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240801002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine Mwachande, Po Box 10299, Fort Wayne, IN 46851-0299 Ph: (574) 546-1900 | Josephine Mwachande, 2100 N Main St Ste 304, Crown Point, IN 46307-1877 Ph: (574) 546-1900 |
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St # 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770 | |
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Anita D Arthur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Jennifer Lee Virgl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Kathleen A Nix, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 S Court St, Crown Point, IN 46307 Phone: 219-757-6272 Fax: 219-681-6954 |