| Shantelle M Burress, NP | |
|
130 E Cleveland Rd, Granger, IN 46530-5620 | |
| (574) 247-2221 | |
| Not Available |
| Full Name | Shantelle M Burress |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 130 E Cleveland Rd, Granger, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285124727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71007967A (Indiana) | Primary |
| Entity Name | Minuteclinic Diagnostics Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830 |
| Entity Name | Psych Pointe, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861087355 PECOS PAC ID: 1557764016 Enrollment ID: O20210722000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Shantelle M Burress, NP 51100 Oak Lined Dr, Granger, IN 46530-7531 Ph: (810) 701-6599 | Shantelle M Burress, NP 130 E Cleveland Rd, Granger, IN 46530-5620 Ph: (574) 247-2221 |
Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Dawn Marie Mahaffey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-281-0202 Fax: 574-990-4409 | |
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Emily Peak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161 | |
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240 |