Dr Rodney Lewis Guimont Jr, MD | |
650 Dickinson Rd, Chesterton, IN 46304-3387 | |
(219) 926-7755 | |
(219) 929-1885 |
Full Name | Dr Rodney Lewis Guimont Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 650 Dickinson Rd, Chesterton, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316119837 | NPI | - | NPPES |
M400016996 | Other | IN | MEDICARE PTAN |
200982010 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01068181A (Indiana) | Primary |
Entity Name | Cleanslate Medical Group Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
Mailing Address | Practice Location Address |
---|---|
Dr Rodney Lewis Guimont Jr, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | Dr Rodney Lewis Guimont Jr, MD 650 Dickinson Rd, Chesterton, IN 46304-3387 Ph: (219) 926-7755 |
Dr. Gary Allen Babcoke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Dickinson Rd, Suite A, Chesterton, IN 46304 Phone: 219-926-2133 Fax: 219-926-8765 | |
Miguel Angel Pena, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 770 Indiana Boundary Rd Ste 203, Chesterton, IN 46304 Phone: 219-921-2059 Fax: 219-395-8990 | |
Dr. Joel Irvin Hull, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Dickinson Rd, Suite A, Chesterton, IN 46304 Phone: 219-926-2133 Fax: 219-926-8765 | |
Douglas Dreher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 810 Michael Dr Ste I, Chesterton, IN 46304 Phone: 219-395-2142 Fax: 219-929-4292 | |
Carla Dreher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 810 Michael Dr Ste I, Chesterton, IN 46304 Phone: 219-395-2142 Fax: 219-929-4292 | |
Alexander Molina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 770 Indian Boundary Rd Ste 200, Chesterton, IN 46304 Phone: 219-921-2000 Fax: 219-395-8770 |