| Katelyn Thompson, | |
|
55339 Wintergreen Rd, New Carlisle, IN 46552-9620 | |
| (574) 323-3826 | |
| Not Available |
| Full Name | Katelyn Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 55339 Wintergreen Rd, New Carlisle, 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 |
|---|---|---|---|
| 1407465503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28231442A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71010341A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Health System Inc | 4880598572 | 140 |
| Entity Name | Goshen Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
| Entity Name | Elite Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456 |
| Entity Name | Metro Infectious Disease Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20070323000403 |
| Entity Name | Great Lakes Behavior Management Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891346441 PECOS PAC ID: 9436580958 Enrollment ID: O20200515001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Thompson, 55339 Wintergreen Rd, New Carlisle, IN 46552-9620 Ph: (574) 323-3826 | Katelyn Thompson, 55339 Wintergreen Rd, New Carlisle, IN 46552-9620 Ph: (574) 323-3826 |
Kristi Lynn Mccormick, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8988 E Us Highway 20, New Carlisle, IN 46552 Phone: 574-654-7779 | |
Jennifer L Snyder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8984 E Us Highway 20, New Carlisle, IN 46552 Phone: 574-654-8490 Fax: 574-654-3643 |