| Tiffany M Gearhart, NP | |
|
7613 W Jefferson Blvd, Fort Wayne, IN 46804-4181 | |
| (260) 469-7337 | |
| (260) 469-7340 |
| Full Name | Tiffany M Gearhart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7613 W Jefferson Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871242263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28248540A (Indiana) | Primary |
| Entity Name | Great Lakes Pediatric Surgeons, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669455267 PECOS PAC ID: 1052374337 Enrollment ID: O20041108000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany M Gearhart, NP 7613 W Jefferson Blvd, Fort Wayne, IN 46804-4181 Ph: (260) 469-7337 | Tiffany M Gearhart, NP 7613 W Jefferson Blvd, Fort Wayne, IN 46804-4181 Ph: (260) 469-7337 |
Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911 | |
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275 | |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911 | |
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672 | |
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455 | |
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 |