| Kaitlyn Marie Ort, NP | |
|
410 Pilgrim Blvd, Hartford City, IN 47348-1382 | |
| (765) 348-5773 | |
| Not Available |
| Full Name | Kaitlyn Marie Ort |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 410 Pilgrim Blvd, Hartford City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891558367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71014920A (Indiana) | Primary |
| Entity Name | Indiana University Health Blackford Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265021109 PECOS PAC ID: 2668381971 Enrollment ID: O20031105000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Marie Ort, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Kaitlyn Marie Ort, NP 410 Pilgrim Blvd, Hartford City, IN 47348-1382 Ph: (765) 348-5773 |
Chantel S Willmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-5776 Fax: 765-348-8335 | |
Malisha Dawn Morris, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 E North St Unit A, Hartford City, IN 47348 Phone: 817-876-9653 | |
Sandra Duggan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-5776 Fax: 765-348-3088 | |
Ms. Lou Cook Kline, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2008 N Walnut St, Hartford City, IN 47348 Phone: 931-253-1110 |