| Mrs Bridjett Rhenette Gassaway, FNP-C | |
|
1320 W State Road 2, La Porte, IN 46350-4666 | |
| (219) 727-6431 | |
| Not Available |
| Full Name | Mrs Bridjett Rhenette Gassaway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1320 W State Road 2, La Porte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194291526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71008555A (Indiana) | Primary |
| Entity Name | Great Lakes Pulmonary & Sleep Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003096504 PECOS PAC ID: 4880784107 Enrollment ID: O20071226000164 |
| Entity Name | Advanced Rehabilitation Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285942722 PECOS PAC ID: 8628253259 Enrollment ID: O20160805001857 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Bridjett Rhenette Gassaway, FNP-C 417 W 81st Ave Ste 302, Merrillville, IN 46410-5317 Ph: (219) 237-0503 | Mrs Bridjett Rhenette Gassaway, FNP-C 1320 W State Road 2, La Porte, IN 46350-4666 Ph: (219) 727-6431 |
Miss Jessica Diehl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Legacy Plz W, La Porte, IN 46350 Phone: 219-575-7578 Fax: 219-575-7186 | |
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: Accepting Medicare Assignments Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377 | |
Fabienne Fify, Nurse Practitioner Medicare: Medicare Enrolled 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: Medicare Enrolled Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-878-5645 |