Mary Jacobs (NPI# 1811545338, PAC ID# 1355673419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811545338 |
| PAC ID by PECOS | 1355673419 |
| Professional Enrollment ID | I20191023001789 |
| Full Name | Mary Jacobs |
| Organization Legal Name | COMMUNITY CARE NETWORK INC |
| Address |
9104 Columbia Ave Munster IN 46321-2907 |
| Phone Number | 2198364473 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678737012 |
| Number of Group Practice Members | 338 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150125 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9104 Columbia Ave, Munster, IN 46321-2907 | 2198364473 | COMMUNITY CARE NETWORK INC |
| 505 W Us Hwy 30, Schererville, IN 46375-2650 | 2193223311 | COMMUNITY CARE NETWORK INC |
| Organization Legal Name | COMMUNITY CARE NETWORK INC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Mantis | Certified Clinical Nurse Specialist (cns) | Community Care Network Inc | 9126 Columbia Ave, Munster, IN 46321-2907 |
| Megan Fiscella | Physical Therapy | Community Care Network Inc | 1545 W Us Hwy 30, Schererville, IN 46375-1562 |
| Farrukh Salim Chaudhry | Neurology | Community Care Network Inc | 901 Macarthur Blvd, Munster, IN 46321-2901 |
| Alicia Christina Fowler | Nurse Practitioner | Community Care Network Inc | 1946 45th St, Munster, IN 46321-3986 |
| Stephanie M Evanson | Obstetrics/gynecology | Community Care Network Inc | 9122 Columbia Ave, Munster, IN 46321-2907 |
| Marylynn Katherine Barnes | Nurse Practitioner | Community Care Network Inc | 3100 45th St, Highland, IN 46322-3289 |
| Megan Maria Lawrence | Nurse Practitioner | Community Care Network Inc | 103 E 89th Ave, Merrillville, IN 46410-7184 |
| Angela D Patti | Nurse Practitioner | Community Care Network Inc | 9034 Columbia Ave, Munster, IN 46321-2905 |
| Justin Abraham | Neurology | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Tina A Crum | Certified Nurse Midwife (cnm) | Community Care Network Inc | 3800 Saint Mary Rd, Suite 201, Valparaiso, IN 46383-3986 |
| Street Address |
9104 COLUMBIA AVE |
| City | MUNSTER |
| State | IN |
| Zip | 46321-2907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samer Abbas | Cardiovascular Disease (cardiology) | Community Care Network Inc | 9104 Columbia Ave, Munster, IN 46321-2907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl Schwartz | Obstetrics/gynecology | 7550 Hohman Ave, Munster, IN 46321-1060 | |
| Alexander S Bozanich | Pulmonary Disease | 7550 Hohman Ave, Suite 600, Munster, IN 46321-1065 | |
| Henry M Zuniga | Obstetrics/gynecology | 7550 Hohman Ave, Suite 500, Munster, IN 46321-1065 | |
| Aanchal Fnu | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 7967 Calumet Ave, Munster, IN 46321-1215 |
| Kristi Canul | Registered Dietitian Or Nutrition Professional | Franciscan Physician Network | 7935 Calumet Ave, Munster, IN 46321-1215 |
| Kyle Lehrman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 7967 Calumet Ave, Munster, IN 46321-1215 |
| Jerry R Brasel | Occupational Therapy | Accelerated Rehabilitation Centers Ltd | 7967 Calumet Ave, Munster, IN 46321-1215 |
| Alexis Funk | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 300 Ridge Rd, Munster, IN 46321-1528 |
| Jim J Yao | Nephrology | Associates In Nephrology Sc | 314 Ridge Rd, Munster, IN 46321-1528 |
| Gregory T Bales | Urology | University of Chicago Physcians Group | 10022 Donald S Power Dr, Munster Outpatient Clinic, Munster, IN 46321-1600 |
| Find all physicians in zip 46321 | |||
| City | MUNSTER |
| Zip Code | 46321 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUNSTER + NURSE PRACTITIONER |
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| 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.