| Kathryn M Gjeldum, ANP-BC | |
|
6375 Us Highway 6 Ste B, Portage, IN 46368-5218 | |
| (219) 762-0400 | |
| (219) 762-2460 |
| Full Name | Kathryn M Gjeldum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 31 Years |
| Location | 6375 Us Highway 6 Ste B, Portage, 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 |
|---|---|---|---|
| 1336165406 | NPI | - | NPPES |
| 000000594185 | Other | IN | ANTHEM BC/BS |
| 200805880 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71001746A (Indiana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 71001746A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Franciscan Health Munster | Munster, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn M Gjeldum, ANP-BC 10625 Olcott Ave, Saint John, IN 46373-8966 Ph: (219) 677-9672 | Kathryn M Gjeldum, ANP-BC 6375 Us Highway 6 Ste B, Portage, IN 46368-5218 Ph: (219) 762-0400 |
Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251 | |
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303 | |
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571 | |
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Kelly Pollard, AGACNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3156 Willowcreek Rd, Portage, IN 46368 Phone: 219-762-9444 Fax: 219-762-2288 | |
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787 |