John A Sobolewski, MD is a medicare enrolled "General Practice" physician in Lake Station, Indiana. His current practice location is
2490 Central Ave, Lake Station, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 763-8112.
John A Sobolewski is licensed to practice in Indiana (license number 01036528A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912992629.
Physician's Profile
Full Name | John A Sobolewski |
---|
Gender | Male |
---|
Speciality | General Practice |
---|
Location | 2490 Central Ave, Lake Station, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912992629
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 01/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 7911988282
- Enrollment ID: I20040525000473
Medical Identifiers
Medical identifiers for John A Sobolewski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912992629 | NPI | - | NPPES |
200106540 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 01036528A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John A Sobolewski allows following entities to bill medicare on his behalf.
Entity Name | Northshore Health Centers Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John A Sobolewski is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
John A Sobolewski, MD Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | John A Sobolewski, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (219) 763-8112 |
Reviews and Comments