Individual
REBEKAH KOTTKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 400-4550
(574) 400-4551
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000870047
BCBS BMGSOUTHEAST
IN
01
—
000000870050
BCBS BMG CENTENNIAL
IN
01
—
000000872005
BCBS BMG CENTRAL
IN
01
—
178410010
MEDICARE PTAN
IN
01
—
178420011
MEDICARE PTAN
IN
05
—
201220670
—
IN
01
—
P01413900
RR MEDICARE
IN
Enumeration date
02/12/2014
Last updated
01/29/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us