| Kaley Michelle Marino, APRN, FNP-C | |
|
1113 Mossy Ln, Mishawaka, IN 46544-9055 | |
| (443) 739-9997 | |
| Not Available |
| Full Name | Kaley Michelle Marino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1113 Mossy Ln, Mishawaka, 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 |
|---|---|---|---|
| 1376021725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71008172A (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71008172A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heartland Behavioral Health Inc | 9638429269 | 8 |
| Entity Name | Nwi Clarity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619412160 PECOS PAC ID: 5991082976 Enrollment ID: O20170428000976 |
| Entity Name | Aims Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376072785 PECOS PAC ID: 6406126572 Enrollment ID: O20170721002478 |
| Entity Name | Heartland Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134618333 PECOS PAC ID: 9638429269 Enrollment ID: O20180831002189 |
| Entity Name | Heartland Recovery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417320508 PECOS PAC ID: 1355687831 Enrollment ID: O20190104002131 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaley Michelle Marino, APRN, FNP-C 9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 Ph: (219) 595-0043 | Kaley Michelle Marino, APRN, FNP-C 1113 Mossy Ln, Mishawaka, IN 46544-9055 Ph: (443) 739-9997 |
Kyla M Schauss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240 | |
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516 | |
Amy M Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5314 Lincolnway E, Mishawaka, IN 46544 Phone: 574-584-2812 Fax: 574-584-2813 | |
Laura Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 W Mckinley Ave, Mishawaka, IN 46545 Phone: 574-282-3230 | |
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321 | |
Shea Lee Warner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700 | |
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 |