Jacqueline Anders
KOSCIUSKO MEDICAL GROUP LLC


Address: 614 N Main St, North Webster Medical Clinic, North Webster, IN 46555-9364
Phone: 5748347677

Jacqueline Anders (NPI# 1881075877, PAC ID# 3577878131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1881075877
PAC ID by PECOS 3577878131
Professional Enrollment ID I20150812007033
Full Name Jacqueline Anders
Organization Legal Name KOSCIUSKO MEDICAL GROUP LLC
Address 614 N Main St
North Webster Medical Clinic
North Webster
IN 46555-9364
Phone Number 5748347677
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5496809956
Number of Group Practice Members 56
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150133 KOSCIUSKO COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
614 N Main St, North Webster Medical Clinic, North Webster, IN 46555-9364 5748347677 KOSCIUSKO MEDICAL GROUP LLC

Organization Information

Organization Legal Name KOSCIUSKO MEDICAL GROUP LLC
Physicians 51

Physicians with the same organization

Name Specialty Organization Address
Aaron Turner Physical Therapy Kosciusko Medical Group LLC 1205 Provident Dr A, Warsaw, IN 46580-3265
Sara Crooks Nurse Practitioner Kosciusko Medical Group LLC 2235 Dubois Dr, Warsaw, IN 46580-3212
Julie Ferland Podiatry Kosciusko Medical Group LLC 3505 Lake City Hwy, Warsaw, IN 46580-3942
Stephanie A Wells Nurse Practitioner Kosciusko Medical Group LLC 107 W Pickwick Dr A, Syracuse, IN 46567-1832
Patrick Bidiones Ilada General Surgery Kosciusko Medical Group LLC 1000 Provident Dr, Suite C, Warsaw, IN 46580-3255
Brian David Reichenbach Family Medicine Kosciusko Medical Group LLC 2217 Dubois Dr, Warsaw, IN 46580-3212
Daniel L Loney Family Medicine Kosciusko Medical Group LLC 1205 Provident Dr A, Warsaw, IN 46580-3265
Melissa Lee Jimenez Nurse Practitioner Kosciusko Medical Group LLC 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723
Megan Fisher Nurse Practitioner Kosciusko Medical Group LLC 2235 Dubois Dr, Warsaw, IN 46580-3212
Beth Lockwood Nurse Practitioner Kosciusko Medical Group LLC 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723

Office Location

Street Address 614 N MAIN ST
NORTH WEBSTER MEDICAL CLINIC
City NORTH WEBSTER
State IN
Zip 46555-9364

Physicians in the same zip code

Name Specialty Organization Address
Jay D Koontz Chiropractic 118 S Main St, North Webster, IN 46555-0579

Competitor

Search similar physicians

City NORTH WEBSTER
Zip Code 46555
Specialty NURSE PRACTITIONER
City + Specialty NORTH WEBSTER + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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