| Tesha Geraghty, FNP | |
|
200 Alfred St, Michigan City, IN 46360 | |
| (219) 872-6200 | |
| (219) 879-2915 |
| Full Name | Tesha Geraghty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 200 Alfred St, Michigan City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457002644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 71012089A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71012089A (Indiana) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Tesha Geraghty, FNP 710 Franklin St Ste 200, Michigan City, IN 46360-3564 Ph: (219) 872-6200 | Tesha Geraghty, FNP 200 Alfred St, Michigan City, IN 46360 Ph: (219) 872-6200 |
Carol Lynn Parks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360 Phone: 219-879-6531 | |
Jason C Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-852-1524 Fax: 219-933-2288 | |
Kaci Bauske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-831-8740 Fax: 219-877-1029 | |
Nichole M Shultz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 121-987-3291 Fax: 219-873-2909 | |
Todd Noel Wolford, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360 Phone: 219-809-9839 Fax: 219-809-9841 | |
Kristen R Novak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360 Phone: 219-872-6566 | |
Allison Elise Kinder, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8955 W 400 N, Michigan City, IN 46360 Phone: 219-861-5544 Fax: 219-861-5800 |