Dr Mydhili Nandanan Moorthie, MD, MPH | |
9660 Wicker Ave, Saint John, IN 46373-9487 | |
(219) 365-1177 | |
(219) 703-6662 |
Full Name | Dr Mydhili Nandanan Moorthie |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 9660 Wicker Ave, Saint John, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982847810 | NPI | - | NPPES |
300085119 | Medicaid | IN | |
1102594807 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036129528 (Illinois) | Secondary |
207Q00000X | Family Medicine | 01092376A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Sherman Hospital | Elgin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cepamerica Illinois Llp | 3274793633 | 417 |
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Community Care Network Inc | 3678737012 | 346 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Edward Health Ventures |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
Entity Name | Edward Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
Entity Name | Morris Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558466268 PECOS PAC ID: 1850372459 Enrollment ID: O20040528000663 |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Mailing Address | Practice Location Address |
---|---|
Dr Mydhili Nandanan Moorthie, MD, MPH 4119 Honey Locust Dr, Naperville, IL 60564-1113 Ph: (312) 593-7438 | Dr Mydhili Nandanan Moorthie, MD, MPH 9660 Wicker Ave, Saint John, IN 46373-9487 Ph: (219) 365-1177 |
Dr. Dana Elsherif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10860 Maple Ln, Saint John, IN 46373 Phone: 219-365-7000 Fax: 219-365-2609 | |
Jessica Lynn Bakker, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 9825 Wicker Ave, Saint John, IN 46373 Phone: 219-763-8112 Fax: 219-764-5333 | |
Shalini Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1166 Fax: 219-226-2222 | |
Dr. Ganapathi Gottumukkala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 193-651-1772 Fax: 219-703-6662 | |
David Deschepper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10860 Maple Ln, Saint John, IN 46373 Phone: 219-365-7000 Fax: 219-365-2609 |