| Kathaleen L Thomas, FNP | |
|
60205 Bodnar Blvd, Mishawaka, IN 46544-9342 | |
| (574) 345-0246 | |
| (574) 381-5740 |
| Full Name | Kathaleen L Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 60205 Bodnar Blvd, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821150426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28127434A (Indiana) | Primary |
| Entity Name | Onhealthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417220369 PECOS PAC ID: 8527221480 Enrollment ID: O20120514000325 |
| Entity Name | Smart Physician Systems Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023550183 PECOS PAC ID: 3678853645 Enrollment ID: O20161208001437 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathaleen L Thomas, FNP 350 Commerce Sq, Michigan City, IN 46360-3376 Ph: (219) 872-9158 | Kathaleen L Thomas, FNP 60205 Bodnar Blvd, Mishawaka, IN 46544-9342 Ph: (574) 345-0246 |
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 |