| Thomas Blodgett, | |
|
5454 Hohman Ave, Hammond, IN 46320-1931 | |
| (219) 932-2300 | |
| Not Available |
| Full Name | Thomas Blodgett |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 5454 Hohman Ave, Hammond, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629533872 | NPI | - | NPPES |
| 300023860 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 71008704A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71008704A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke Regional Hospital | Durham, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duke University Health System, Inc | 2567372345 | 906 |
| Entity Name | Duke University Health System, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376574798 PECOS PAC ID: 2567372345 Enrollment ID: O20031126000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Blodgett, 1040 Sierra Dr Ste 400, Greenwood, IN 46143-7241 Ph: (317) 528-4800 | Thomas Blodgett, 5454 Hohman Ave, Hammond, IN 46320-1931 Ph: (219) 932-2300 |
Amanda Vagelatos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2250 173rd St, Hammond, IN 46323 Phone: 765-494-0111 | |
Tamika Banks, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5818 Columbia Ave, Hammond, IN 46320 Phone: 219-261-5451 | |
Mrs. Breanna Marie Matheny, MSN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 5th Ave, Hammond, IN 46320 Phone: 219-473-0722 | |
Miyako S Streeter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Dale Poortenga, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Midwest Express Clinic, 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Kristen Karanovic, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Dana Joy Hiskes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 Fax: 219-802-8801 |