| Tami Clinkenbeard, NP | |
|
3988 W State Road 10, Wheatfield, IN 46392-9251 | |
| (219) 987-3581 | |
| (219) 987-7137 |
| Full Name | Tami Clinkenbeard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 3988 W State Road 10, Wheatfield, 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 |
|---|---|---|---|
| 1033748736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71010488A (Indiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | F01200152 (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| Entity Name | Northwest Cancer Centers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578527826 PECOS PAC ID: 4587553474 Enrollment ID: O20040310001213 |
| Entity Name | Fc Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
| Mailing Address | Practice Location Address |
|---|---|
| Tami Clinkenbeard, NP 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-4004 | Tami Clinkenbeard, NP 3988 W State Road 10, Wheatfield, IN 46392-9251 Ph: (219) 987-3581 |
Mrs. Erin A Husch, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 492 S Bierma St, Wheatfield, IN 46392 Phone: 219-956-2110 | |
Corinne Michelle Djuric, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 E Robbins St, Wheatfield, IN 46392 Phone: 219-956-3004 Fax: 219-956-3006 | |
Mr. Kimberly A Ott, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10342 N 100 W, Wheatfield, IN 46392 Phone: 866-434-3255 Fax: 855-238-6151 | |
Mallory Hanewich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3988 W State Road 10, Wheatfield, IN 46392 Phone: 219-987-3581 | |
Heather Lynn Stokes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 492 S Bierma St, Wheatfield, IN 46392 Phone: 219-956-2110 Fax: 219-956-3548 | |
Richele L Wright, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 492 S Bierma St, Wheatfield, IN 46392 Phone: 219-956-2110 Fax: 219-956-3548 |