Dr Andrew House, MD | |
10215 Broadway Ste 204, Crown Point, IN 46307-8001 | |
(219) 661-6152 | |
(219) 703-6833 |
Full Name | Dr Andrew House |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10215 Broadway Ste 204, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528521697 | NPI | - | NPPES |
300064777 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01087931A (Indiana) | Primary |
Entity Name | Porter Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Entity Name | La Porte Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
Entity Name | 219 Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew House, MD 10215 Broadway Ste 204, Crown Point, IN 46307-8001 Ph: (219) 661-6152 | Dr Andrew House, MD 10215 Broadway Ste 204, Crown Point, IN 46307-8001 Ph: (219) 661-6152 |
Valerie Cecelia Maguire, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307 Phone: 219-663-4007 Fax: 219-663-4198 | |
Dr. James Simantirakis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8610 | |
Angelica M. Lacefield, MSN, APRN, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 | |
Bo Ra Nam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Mrs. Kamartaj S Quadri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8621 | |
Timothy James Mullally, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11275 Delaware Pkwy, Crown Point, IN 46307 Phone: 219-779-8735 Fax: 877-715-2312 | |
Erika Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-933-2288 |