Laura A Hannon, MD | |
8988 E Us Highway 20, New Carlisle, IN 46552-9038 | |
(574) 654-7779 | |
(574) 654-7780 |
Full Name | Laura A Hannon |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 8988 E Us Highway 20, New Carlisle, 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 |
---|---|---|---|
1154339935 | NPI | - | NPPES |
00000378303 | Other | IN | ANTHEM, BCBS |
200529120A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01061101A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Laporte Home Health | La porte, IN | Home health agency |
Home Health Care Solutions Llc | Avon, IN | Home health agency |
Dunes Hospice Llc | Valparaiso, IN | Hospice |
La Porte Hospital | La porte, IN | Hospital |
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Miller's Merry Manor | New carlisle, IN | Nursing home |
Hamilton Grove | New carlisle, IN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
La Porte Clinic Company Llc | 0446558357 | 61 |
Healthlinc Inc | 7618929373 | 60 |
Entity Name | Healthlinc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
Entity Name | La Porte Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
Mailing Address | Practice Location Address |
---|---|
Laura A Hannon, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 326-2312 | Laura A Hannon, MD 8988 E Us Highway 20, New Carlisle, IN 46552-9038 Ph: (574) 654-7779 |
Dr. Andrey P Seluzhitskiy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8984 E Us Highway 20, New Carlisle, IN 46552 Phone: 574-654-8490 Fax: 574-654-3643 |