| Porsche Bianca West, | |
|
2269 W 25th Ave, Gary, IN 46404-3367 | |
| (219) 944-4160 | |
| Not Available |
| Full Name | Porsche Bianca West |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2269 W 25th Ave, Gary, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992491906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71013960A (Indiana) | Primary |
| Entity Name | The Methodist Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
| Entity Name | Midwest Post Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20170127000348 |
| Entity Name | Midwest Post Acute Care Aco Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457926537 PECOS PAC ID: 2961804976 Enrollment ID: O20210714000468 |
| Entity Name | Marciana Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134719693 PECOS PAC ID: 9739594169 Enrollment ID: O20211209002417 |
| Entity Name | Mpac Aco Reach Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508603895 PECOS PAC ID: 9931633880 Enrollment ID: O20241114001846 |
| Mailing Address | Practice Location Address |
|---|---|
| Porsche Bianca West, 2269 W 25th Ave, Gary, IN 46404-3367 Ph: (708) 275-6933 | Porsche Bianca West, 2269 W 25th Ave, Gary, IN 46404-3367 Ph: (219) 944-4160 |
Mrs. Amanda Joy Dech, MSN/FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3229 Broadway Ste 205, Gary, IN 46409 Phone: 219-806-3000 | |
Mrs. Laresse Harris, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mrs. Nkechi Pauline Onyeukwu, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512 | |
Miss Nathalie Maherani Batchassi, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Grant St, Gary, IN 46404 Phone: 219-882-9900 | |
Michelle Wathier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 | |
Akeem Olasunkanmi Kareem, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mr. Darnell Rather, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 |