| Leeann Marie Enix, NP | |
|
206 W Warren St, Middlebury, IN 46540-9410 | |
| (574) 358-0042 | |
| (574) 358-0157 |
| Full Name | Leeann Marie Enix |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 206 W Warren St, Middlebury, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306360227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71013379A (Indiana) | Primary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Leeann Marie Enix, NP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Leeann Marie Enix, NP 206 W Warren St, Middlebury, IN 46540-9410 Ph: (574) 358-0042 |
Mrs. Amy Elizabeth Hoffman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 Us Highway 20, Middlebury, IN 46540 Phone: 574-825-8068 | |
Julie Ann Hartzler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1200 W, Middlebury, IN 46540 Phone: 574-825-3888 | |
Tamara Kay Coney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1200 W, Middlebury, IN 46540 Phone: 574-825-3888 Fax: 574-318-3358 | |
Andrea N Carroll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-358-0042 Fax: 574-358-0157 | |
Mrs. Theresa Ann Clark, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 N Main St, Middlebury, IN 46540 Phone: 574-825-3400 | |
Janet E. Kercher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-825-2146 Fax: 574-524-7435 |