| Nina Kodros, PA-C | |
|
3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | |
| (776) 775-2800 | |
| (765) 775-2831 |
| Full Name | Nina Kodros |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 3900 St Francis Way Ste 200, Lafayette, 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 |
|---|---|---|---|
| 1326678962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003744A (Indiana) | Primary |
| 363AS0400X | Physician Assistant - Surgical | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Trinity Rock Island | Rock island, IL | Hospital |
| Edward Hospital | Naperville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiac Surgery Associates Sc | 2860304102 | 44 |
| Entity Name | Cardiac Surgery Associates SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269160 PECOS PAC ID: 2860304102 Enrollment ID: O20031104000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Kodros, PA-C 2650 Warrenville Rd Ste 280, Downers Grove, IL 60515-2075 Ph: (630) 324-7900 | Nina Kodros, PA-C 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 Ph: (776) 775-2800 |
Rachael Guerin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 815-575-4585 |
Amy Elizabeth Spear, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8100 Fax: 765-446-7088 |
Olivia C Roberts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |
Amelia B Dale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 |
Jaimie Kolanowski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3750 Landmark Dr Ste A, Lafayette, IN 47905 Phone: 765-807-2780 Fax: 317-706-3417 |
Sarah E Wilson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905 Phone: 765-447-4165 Fax: 765-447-6978 |
Rachel Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 210, Lafayette, IN 47905 Phone: 765-446-5432 |