| Katendi Kanema, APRN | |
|
6910 N Main St Unit 52, Granger, IN 46530-8412 | |
| (574) 231-6766 | |
| (833) 249-2411 |
| Full Name | Katendi Kanema |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6910 N Main St Unit 52, Granger, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609533298 | NPI | - | NPPES |
| 71011866A | Other | IN | APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71011886A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Behavior Management Specialists, Inc. | 9436580958 | 7 |
| 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 |
|---|---|
| Katendi Kanema, APRN 52021 Cloverleaf Dr W, South Bend, IN 46637-6034 Ph: (574) 231-6766 | Katendi Kanema, APRN 6910 N Main St Unit 52, Granger, IN 46530-8412 Ph: (574) 231-6766 |
Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Dawn Marie Mahaffey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-281-0202 Fax: 574-990-4409 | |
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Emily Peak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161 | |
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240 |