Holly Longstreet, DO | |
1354 S Lake Park Ave Ste B, Hobart, IN 46342-5964 | |
(219) 945-4495 | |
(219) 703-6701 |
Full Name | Holly Longstreet |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 12 Years |
Location | 1354 S Lake Park Ave Ste B, Hobart, 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 |
---|---|---|---|
1588925655 | NPI | - | NPPES |
201299700 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02004654A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center Inc | Hobart, IN | Hospital |
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Network Inc | 3678737012 | 346 |
Rci (wrs), Llc. | 5092624510 | 328 |
Entity Name | Community Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Holly Longstreet, DO 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084 | Holly Longstreet, DO 1354 S Lake Park Ave Ste B, Hobart, IN 46342-5964 Ph: (219) 945-4495 |
Michelle Marie Dicostanzo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7890 E Ridge Rd, Hobart, IN 46342 Phone: 219-947-7880 Fax: 219-962-9772 | |
Dr. Lauren Woodhouse Harting, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1356 South Lake Park Avenue, Hobart, IN 46342 Phone: 219-942-8518 Fax: 219-947-2751 | |
Michael H. Simpson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave Ste 200, Hobart, IN 46342 Phone: 219-947-6122 | |
Stephanie Anne Bryant, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Bracken Parkway, Hobart, IN 46342 Phone: 219-942-1145 Fax: 219-942-8175 | |
Deepak Govind Bhojraj, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3586 N Hobart Rd, Suite C, Hobart, IN 46342 Phone: 219-962-6500 Fax: 219-965-3853 | |
Ibrahim George Zabaneh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave, Ste 500, Hobart, IN 46342 Phone: 219-942-7299 Fax: 219-947-6624 |