| Nicole Pitts, | |
|
2003 Stults Rd Ste 105, Huntington, IN 46750-1291 | |
| (260) 355-3250 | |
| (260) 355-3259 |
| Full Name | Nicole Pitts |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2003 Stults Rd Ste 105, Huntington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558855197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10002600A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Pitts, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: Not Available | Nicole Pitts, 2003 Stults Rd Ste 105, Huntington, IN 46750-1291 Ph: (260) 355-3250 |
Jeremy Boroff, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1415 Flaxmill Rd, Huntington, IN 46750 Phone: 260-359-1250 |
Sonja Duncan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2708 Guilford St, Huntington, IN 46750 Phone: 260-355-3900 Fax: 260-355-3079 |
Heather L Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2003 Stults Rd Ste 210, Huntington, IN 46750 Phone: 260-355-3110 Fax: 260-355-3114 |
Ramona Fay Bauch, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 Flaxmill Rd, Huntington, IN 46750 Phone: 260-359-1250 |
Patricia Dealteris, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1415 Flaxmill Rd, Huntington, IN 46750 Phone: 260-359-1250 |
Mr. Brandon Mccarty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2003 Stults Rd Ste 210, Huntington, IN 46750 Phone: 260-355-3110 Fax: 260-355-3114 |
Mrs. Shannon Elise Brisbin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2003 Stults Rd Ste 100, Huntington, IN 46750 Phone: 260-356-5424 |