Mark Fesenmyer, MD | |
8895 Broadway, Merrillville, IN 46410-7037 | |
(219) 738-2081 | |
(219) 736-4658 |
Full Name | Mark Fesenmyer |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 33 Years |
Location | 8895 Broadway, Merrillville, 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 |
---|---|---|---|
1992770390 | NPI | - | NPPES |
000000804383 | Other | IN | ANTHEM |
036105597 | Medicaid | IL | |
201131780A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036105597 (Illinois) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 01072085A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center Inc | Hobart, IN | Hospital |
St Catherine Hospital Inc | East chicago, IN | Hospital |
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Network Inc | 3678737012 | 346 |
Entity Name | Internal Medicine Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487685178 PECOS PAC ID: 9133191604 Enrollment ID: O20040806000539 |
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 |
---|---|
Mark Fesenmyer, MD 8895 Broadway, Merrillville, IN 46410-7037 Ph: (219) 738-2081 | Mark Fesenmyer, MD 8895 Broadway, Merrillville, IN 46410-7037 Ph: (219) 738-2081 |
Dr. Mihas Mamu Kodenchery, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5800 Broadway, Suite A-j, Merrillville, IN 46410 Phone: 219-884-9185 | |
Virginia Tan Tabib, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 8127 Merrillville Rd, Merrillville, IN 46410 Phone: 219-769-4855 Fax: 219-757-5629 | |
Dr. Mohammed Asgar, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5490 Broadway Ste 106, Merrillville, IN 46410 Phone: 219-939-7130 Fax: 219-951-0883 | |
Gaurav Agarwal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6061 Broadway, Merrillville, IN 46410 Phone: 219-884-2640 Fax: 219-884-2810 | |
Larry R Brazley, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 255 E 90th Dr, W1, Merrillville, IN 46410 Phone: 219-791-0248 Fax: 219-791-0251 | |
Stephanie D Marshall, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8684 Connecticut St Ste A, Merrillville, IN 46410 Phone: 192-472-8990 Fax: 219-472-0270 | |
Kumar Venkatachalam, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8895 Broadway, Merrillville, IN 46410 Phone: 219-738-2081 Fax: 219-736-4658 |