| Wonda Fay Elmore, | |
|
255 N Miami St, Wabash, IN 46992-2705 | |
| (574) 385-3145 | |
| (260) 563-1902 |
| Full Name | Wonda Fay Elmore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 255 N Miami St, Wabash, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053546556 | NPI | - | NPPES |
| 300002655 | Medicaid | IN | |
| 000001090820 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71002916B (Indiana) | Primary |
| Entity Name | Four County Comprehensive Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972545945 PECOS PAC ID: 2163334277 Enrollment ID: O20031105000480 |
| Entity Name | Bowen Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
| Entity Name | Nes Of Sandusky Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524 |
| Mailing Address | Practice Location Address |
|---|---|
| Wonda Fay Elmore, 255 N Miami St, Wabash, IN 46992-2705 Ph: (574) 385-3145 | Wonda Fay Elmore, 255 N Miami St, Wabash, IN 46992-2705 Ph: (574) 385-3145 |
Lorie Ann Johnston, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Miami St, Wabash, IN 46992 Phone: 260-563-8446 Fax: 260-563-1902 | |
Terry I Neal, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 276 Manchester Ave, Wabash, IN 46992 Phone: 260-563-2126 Fax: 260-563-2120 | |
Mrs. Michele E Meredith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 Fax: 260-569-2284 | |
Melanie L Zolman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 John Kissinger Dr, Wabash, IN 46992 Phone: 260-563-7451 | |
Ms. Tamitha Sue Hickman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5859 S 100 W, Wabash, IN 46992 Phone: 260-388-3799 | |
Melissa Ann Terry, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 N Miami St, Wabash, IN 46992 Phone: 260-563-8446 |