| Tracy Elizabeth Jakel, NP | |
|
1331 State St, La Porte, IN 46350-3112 | |
| (219) 325-5474 | |
| (219) 325-5456 |
| Full Name | Tracy Elizabeth Jakel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1331 State St, La Porte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508290289 | NPI | - | NPPES |
| PENDING | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 28118993A (Indiana) | Primary |
| Entity Name | Carelon Medical Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160314002228 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Elizabeth Jakel, NP 1331 State St, La Porte, IN 46350-3112 Ph: (219) 325-5474 | Tracy Elizabeth Jakel, NP 1331 State St, La Porte, IN 46350-3112 Ph: (219) 325-5474 |
Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802 |
Kimberly Minich, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377 |
Fabienne Fify, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 I St, La Porte, IN 46350 Phone: 708-288-5036 |
April Donald, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246 |
Tara Lee Nimtz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Teegarden St, La Porte, IN 46350 Phone: 219-326-0043 Fax: 219-326-8909 |
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Lincolnway Pl Ste 8, La Porte, IN 46350 Phone: 219-393-9072 Fax: 219-325-0855 |
Diane E Spoljoric, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6916 W Johnson Rd, La Porte, IN 46350 Phone: 219-326-7337 Fax: 219-814-4228 |