| Kathy Frances Tebo, APRN | |
|
420 E Main St, Brook, IN 47922-8715 | |
| (219) 275-2521 | |
| (219) 275-9342 |
| Full Name | Kathy Frances Tebo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 420 E Main St, Brook, 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 |
|---|---|---|---|
| 1497411797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71011915A (Indiana) | Primary |
| 207Q00000X | Family Medicine | 28190154A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Health Rensselaer Inc | 2668781212 | 5 |
| 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 | Franciscan Health Rensselaer Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932589173 PECOS PAC ID: 2668781212 Enrollment ID: O20160426001774 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Frances Tebo, APRN Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Kathy Frances Tebo, APRN 420 E Main St, Brook, IN 47922-8715 Ph: (219) 275-2521 |
Sarah Jo Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 E Main St, Brook, IN 47922 Phone: 219-275-2521 Fax: 219-275-9342 |