| Mrs Abigail Mae Boersma, FNP | |
|
10860 Maple Ln, Saint John, IN 46373-8418 | |
| (219) 365-7000 | |
| (219) 365-2609 |
| Full Name | Mrs Abigail Mae Boersma |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 10860 Maple Ln, Saint John, 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 |
|---|---|---|---|
| 1912540303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 28223440A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71009580A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Porter Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
| 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 | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Entity Name | App Of Indiana Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Abigail Mae Boersma, FNP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Mrs Abigail Mae Boersma, FNP 10860 Maple Ln, Saint John, IN 46373-8418 Ph: (219) 365-7000 |
Margarita Vega-suarez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, 2nd Fl, Saint John, IN 46373 Phone: 219-703-2417 Fax: 219-703-6947 | |
Unyime Ekanem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9915 Hunters Run, Saint John, IN 46373 Phone: 618-203-2217 | |
Ms. Alicia Fowler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Jessica Lynn Bakker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9825 Wicker Ave, Saint John, IN 46373 Phone: 219-763-8112 Fax: 219-764-5333 | |
Marne J Juestel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Joanne Weisz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Jill Van Tholen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9495 Keilman St Ste 6, Saint John, IN 46373 Phone: 219-440-1232 Fax: 219-285-5687 |