| Mrs Fern O Mchenry, NP | |
|
3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | |
| (260) 483-9081 | |
| (260) 483-9196 |
| Full Name | Mrs Fern O Mchenry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3512 Stellhorn Rd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932201175 | NPI | - | NPPES |
| 200324220 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71000956A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71000956A (Indiana) | Primary |
| Entity Name | Southern Arizona Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285994004 PECOS PAC ID: 9335398031 Enrollment ID: O20121011000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Fern O Mchenry, NP Po Box 392552, Pittsburgh, PA 15251-9500 Ph: (260) 483-9081 | Mrs Fern O Mchenry, NP 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 Ph: (260) 483-9081 |
Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911 | |
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275 | |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911 | |
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672 | |
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753 | |
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455 |