| Mrs Stephanie Maris Kadish, NP-C | |
|
1331 State Street Suite 310, Laporte, IN 46350-3290 | |
| (219) 326-2415 | |
| (219) 326-2448 |
| Full Name | Mrs Stephanie Maris Kadish |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1331 State Street Suite 310, Laporte, 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 |
|---|---|---|---|
| 1538659560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71007974A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Porte Clinic Company Llc | 0446558357 | 59 |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stephanie Maris Kadish, NP-C 1331 State Street Suite 310, Laporte, IN 46350-3290 Ph: (219) 326-2415 | Mrs Stephanie Maris Kadish, NP-C 1331 State Street Suite 310, Laporte, IN 46350-3290 Ph: (219) 326-2415 |
Krystal Antrim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Newporte Blvd, Laporte, IN 46350 Phone: 219-575-6244 | |
Laurie J Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Legacy Plaza East, Laporte, IN 46350 Phone: 219-921-1444 Fax: 219-921-5303 |