| Kevin D Waldo Sr, NP | |
|
1355 Mariners Dr, Warsaw, IN 46582-7145 | |
| (260) 266-5230 | |
| (260) 266-5219 |
| Full Name | Kevin D Waldo Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1355 Mariners Dr, Warsaw, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356018543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71011479A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Medical Group Llc | 4981751617 | 232 |
| Entity Name | Lutheran Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin D Waldo Sr, NP 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Kevin D Waldo Sr, NP 1355 Mariners Dr, Warsaw, IN 46582-7145 Ph: (260) 266-5230 |
Sara M. Vanlaningham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Dr. Amy Deion Stitt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 765-425-5576 | |
Tara Janae Little, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-269-8383 Fax: 260-479-2911 | |
Mrs. Candace G Lemke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-1700 | |
Kayla R Cottrill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134 | |
Anita Lynn Alcorn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-372-7637 | |
Victoria Ong-murrell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3510 Commerce Dr, Warsaw, IN 46580 Phone: 604-599-2252 Fax: 608-001-5122 |