| Leslie Nicole Kaniuk, NP | |
|
6913 N Main St Ste 100, Granger, IN 46530-8039 | |
| (574) 647-8542 | |
| (574) 647-8549 |
| Full Name | Leslie Nicole Kaniuk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6913 N Main St Ste 100, Granger, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245065127 | NPI | - | NPPES |
| 300101596 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71016046A (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 |
|---|---|
| Leslie Nicole Kaniuk, NP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-6592 | Leslie Nicole Kaniuk, NP 6913 N Main St Ste 100, Granger, IN 46530-8039 Ph: (574) 647-8542 |
Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Dawn Marie Mahaffey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-281-0202 Fax: 574-990-4409 | |
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Emily Peak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161 | |
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240 |