| Mary P Kustron, | |
|
320 W 61st Ave, Hobart, IN 46342-6490 | |
| (219) 947-6448 | |
| (219) 947-6839 |
| Full Name | Mary P Kustron |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 320 W 61st Ave, Hobart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720568017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28150133A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71008629A (Indiana) | Primary |
| Entity Name | St Mary Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962504175 PECOS PAC ID: 2365424348 Enrollment ID: O20040603000490 |
| Entity Name | Northshore Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
| Entity Name | Nwi Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
| Entity Name | Midwest Express Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942642848 PECOS PAC ID: 5193957595 Enrollment ID: O20140417002077 |
| Entity Name | Hansa Medical Groupe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386804615 PECOS PAC ID: 5092881417 Enrollment ID: O20151008002209 |
| Entity Name | Midwest Express Care 4 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629502810 PECOS PAC ID: 4284909615 Enrollment ID: O20180131001651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary P Kustron, 320 W 61st Ave, Hobart, IN 46342-6490 Ph: (219) 947-6448 | Mary P Kustron, 320 W 61st Ave, Hobart, IN 46342-6490 Ph: (219) 947-6448 |
Mrs. Joann Elizabeth Marinkovich-davidson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave Sp402, Hobart, IN 46342 Phone: 219-945-4488 Fax: 219-947-6015 | |
Miss Jillian Rose Finley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 174 Bracken Pkwy, Hobart, IN 46342 Phone: 219-945-3070 | |
Kristen Lynch, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 S Lake Park Ave Ste 400, Hobart, IN 46342 Phone: 219-942-6166 Fax: 219-942-4106 | |
Victoria Anne Pyke, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1354 S Lake Park Ave Ste A, Hobart, IN 46342 Phone: 219-947-6495 Fax: 219-947-6405 | |
Cassandra Karney, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave Ste 304, Hobart, IN 46342 Phone: 219-947-6638 Fax: 219-703-6693 | |
Mrs. Kristen Nicole Mcging, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6009 | |
Mrs. Jillian Marie Hanger, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-942-0551 |