| Samara Ruder, NP-C | |
|
8183 Magoun Dr, Saint John, IN 46373-8888 | |
| (219) 798-3562 | |
| Not Available |
| Full Name | Samara Ruder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8183 Magoun Dr, Saint John, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669946489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F10181212 (Indiana) | Primary |
| Entity Name | Centers For Pain Control, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790920452 PECOS PAC ID: 7416019450 Enrollment ID: O20081229000343 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
| Mailing Address | Practice Location Address |
|---|---|
| Samara Ruder, NP-C 8183 Magoun Dr, Saint John, IN 46373-8888 Ph: (219) 798-3562 | Samara Ruder, NP-C 8183 Magoun Dr, Saint John, IN 46373-8888 Ph: (219) 798-3562 |
Margarita Vega-suarez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, 2nd Fl, Saint John, IN 46373 Phone: 219-703-2417 Fax: 219-703-6947 | |
Unyime Ekanem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9915 Hunters Run, Saint John, IN 46373 Phone: 618-203-2217 | |
Ms. Alicia Fowler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Jessica Lynn Bakker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9825 Wicker Ave, Saint John, IN 46373 Phone: 219-763-8112 Fax: 219-764-5333 | |
Marne J Juestel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Joanne Weisz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1177 | |
Jill Van Tholen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9495 Keilman St Ste 6, Saint John, IN 46373 Phone: 219-440-1232 Fax: 219-285-5687 |