Stephanie A Wells
KOSCIUSKO MEDICAL GROUP LLC


Address: 107 W Pickwick Dr A, Syracuse, IN 46567-1832
Phone: 5744578585

Stephanie A Wells (NPI# 1306275896, PAC ID# 6103054515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1306275896
PAC ID by PECOS 6103054515
Professional Enrollment ID I20140110000231
Full Name Stephanie A Wells
Organization Legal Name KOSCIUSKO MEDICAL GROUP LLC
Address 107 W Pickwick Dr A
Syracuse
IN 46567-1832
Phone Number 5744578585
Gender F
Graduation Year 2013
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
107 W Pickwick Dr A, Syracuse, IN 46567-1832 5744578585 KOSCIUSKO MEDICAL GROUP LLC
1210 Provident Dr A, Warsaw, IN 46580-3266 5743721405 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
Jacqueline Anders Nurse Practitioner Kosciusko Medical Group LLC 614 N Main St, North Webster Medical Clinic, North Webster, IN 46555-9364
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 107 W PICKWICK DR A
City SYRACUSE
State IN
Zip 46567-1832

Physicians in the same location

Name Specialty Organization Address
Corey F Graham General Surgery Kosciusko Medical Group LLC 107 W Pickwick Dr A, Syracuse, IN 46567-1832
John Kent Kratzer Family Medicine Kosciusko Medical Group LLC 107 W Pickwick Dr A, Syracuse, IN 46567-1832

Physicians in the same zip code

Name Specialty Organization Address
Tamara Kermani Family Medicine Goshen Health System Inc 1033 N Indiana Ave, Syracuse, IN 46567-1017
Falon Kuhn Nurse Practitioner Goshen Health System Inc 1033 N Indiana Ave, Syracuse, IN 46567-1017
Theodore Sauer Family Medicine Goshen Health System Inc 1033 N Indiana Ave, Syracuse, IN 46567-1017
Amy L Frazier Nurse Practitioner Goshen Health System Inc 1033 N Indiana Ave, Syracuse, IN 46567-1017
Larry D Allen Family Medicine Goshen Health System Inc 1033 N Indiana Ave, Syracuse, IN 46567-1017
Jodi S Clouse Family Practice Goshen Health System Inc 1033 N Indiana Ave, Syracuse, IN 46567-1017
Diane A Hochstetler Nurse Practitioner Goshen Health System Inc 1033 N Indiana Ave, Syracuse, IN 46567-1017
Dawn Marie Bass Qualified Audiologist Bass Audiology LLC 111 E Main St, Syracuse, IN 46567-1120
James R Thwaits Chiropractic 502 N Huntington St, Thwaits Chiropractic, Syracuse, IN 46567-1224
Rod Kaufman Optometry 406 N Huntington St, Syracuse, IN 46567-1226
Find all physicians in zip 46567

Competitor

Search similar physicians

City SYRACUSE
Zip Code 46567
Specialty NURSE PRACTITIONER
City + Specialty SYRACUSE + 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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