Dr John Mirro, MD | |
101 E 87th Ave Ste 420, Merrillville, IN 46410-7335 | |
(219) 758-5008 | |
(219) 758-5009 |
Full Name | Dr John Mirro |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 101 E 87th Ave Ste 420, Merrillville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689678955 | NPI | - | NPPES |
110044492 | Other | IN | RAILROAD MEDICARE |
100187310A | Medicaid | IN | |
000000085025 | Other | IN | ANTHEM BC/BS |
9115389 | Other | IL | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 01024382A (Indiana) | Primary |
Entity Name | Internal Medicine Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487685178 PECOS PAC ID: 9133191604 Enrollment ID: O20040806000539 |
Entity Name | The Methodist Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720290588 PECOS PAC ID: 9638063894 Enrollment ID: O20080805000003 |
Mailing Address | Practice Location Address |
---|---|
Dr John Mirro, MD 7895 Grand Blvd, Hobart, IN 46342-6665 Ph: (219) 947-1910 | Dr John Mirro, MD 101 E 87th Ave Ste 420, Merrillville, IN 46410-7335 Ph: (219) 758-5008 |
Dr. Mihas Mamu Kodenchery, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5800 Broadway, Suite A-j, Merrillville, IN 46410 Phone: 219-884-9185 | |
Virginia Tan Tabib, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 8127 Merrillville Rd, Merrillville, IN 46410 Phone: 219-769-4855 Fax: 219-757-5629 | |
Dr. Mohammed Asgar, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5490 Broadway Ste 106, Merrillville, IN 46410 Phone: 219-939-7130 Fax: 219-951-0883 | |
Gaurav Agarwal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6061 Broadway, Merrillville, IN 46410 Phone: 219-884-2640 Fax: 219-884-2810 | |
Larry R Brazley, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 255 E 90th Dr, W1, Merrillville, IN 46410 Phone: 219-791-0248 Fax: 219-791-0251 | |
Stephanie D Marshall, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8684 Connecticut St Ste A, Merrillville, IN 46410 Phone: 192-472-8990 Fax: 219-472-0270 | |
Kumar Venkatachalam, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8895 Broadway, Merrillville, IN 46410 Phone: 219-738-2081 Fax: 219-736-4658 |