| Miss Kori B Engdahl, CNM, MSN | |
|
510 Smaltz Way, Auburn, IN 46706-0612 | |
| (260) 927-0035 | |
| (260) 927-0036 |
| Full Name | Miss Kori B Engdahl |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 22 Years |
| Location | 510 Smaltz Way, Auburn, 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 |
|---|---|---|---|
| 1518262807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 28160840A (Indiana) | Secondary |
| 367A00000X | Advanced Practice Midwife | 09000204A (Indiana) | Primary |
| 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 |
|---|---|
| Miss Kori B Engdahl, CNM, MSN 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 927-0035 | Miss Kori B Engdahl, CNM, MSN 510 Smaltz Way, Auburn, IN 46706-0612 Ph: (260) 927-0035 |
Ms. Aubrey Brinneman Hawk, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 510 Smaltz Way, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 | |
Mrs. Britte Nihart, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1310 E 7th St Ste M, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 | |
Mrs. Michelle Elaine Hileman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1310 E 7th St, Suite M, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 | |
Mrs. Stephanie M Vanderhorst, CNM MSN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 510 Smaltz Way, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 |