| Mr Mitchell Steven Molenda, NP | |
|
1007 Lincolnway, La Porte, IN 46350-3290 | |
| (219) 326-1234 | |
| (219) 326-2699 |
| Full Name | Mr Mitchell Steven Molenda |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1007 Lincolnway, La Porte, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245864057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 28176910A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Bend Emergency Physicians Inc | 0941282354 | 48 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Inphynet Primary Care Physicians Midwest, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528090610 PECOS PAC ID: 6507808946 Enrollment ID: O20050525001352 |
| Entity Name | North Indiana Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144691478 PECOS PAC ID: 5496064669 Enrollment ID: O20151029001047 |
| Entity Name | South Bend Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mitchell Steven Molenda, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Mr Mitchell Steven Molenda, NP 1007 Lincolnway, La Porte, IN 46350-3290 Ph: (219) 326-1234 |
Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802 | |
Tami Clinkenbeard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Newporte Blvd, La Porte, IN 46350 Phone: 219-326-1775 Fax: 219-326-1951 | |
Kimberly Minich, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377 | |
Fabienne Fify, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 I St, La Porte, IN 46350 Phone: 708-288-5036 | |
April Donald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246 | |
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-878-5645 | |
Sandra R Gates-manna, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-325-5434 Fax: 219-325-7655 |