Fred Anthony Lepore Jr, | |
24 Joliet St, Dyer, IN 46311-1705 | |
(708) 895-9385 | |
Not Available |
Full Name | Fred Anthony Lepore Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 24 Joliet St, Dyer, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013151463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036128619 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 02004195A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Dyer | Dyer, IN | Hospital |
Franciscan Health Munster | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clarksville Emergency Group, Pc | 6507277423 | 129 |
Entity Name | App Of Indiana Ed, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
Entity Name | Clarksville Emergency Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
Mailing Address | Practice Location Address |
---|---|
Fred Anthony Lepore Jr, 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Fred Anthony Lepore Jr, 24 Joliet St, Dyer, IN 46311-1705 Ph: (708) 895-9385 |
Brett E Marcotte, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-864-2077 Fax: 219-864-2649 | |
Sean A Chrystal, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-933-2288 | |
Erik Frost, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 |