Mary Eileen Mccormack, DO | |
800 W Burrell Dr, Crown Point, IN 46307-8898 | |
(219) 663-9913 | |
(219) 663-9923 |
Full Name | Mary Eileen Mccormack |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 800 W Burrell Dr, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104939958 | NPI | - | NPPES |
000000088456 | Other | IN | ANTHEM BC/BS |
M47140040 | Other | IN | MEDICARE |
200017580A | Medicaid | IN | |
160057113 | Other | IN | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 02001585A (Indiana) | Primary |
208M00000X | Hospitalist | 02001585A (Indiana) | Secondary |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Mary Eileen Mccormack, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Mary Eileen Mccormack, DO 800 W Burrell Dr, Crown Point, IN 46307-8898 Ph: (219) 663-9913 |
Omar Mostafa Abuzeid, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 297 W Franciscan Dr Ste 104, Crown Point, IN 46307 Phone: 219-213-2280 Fax: 219-213-2281 | |
Valentin Florinel Drezaliu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 607 W 93rd Ct, Crown Point, IN 46307 Phone: 929-444-2296 | |
Dr. Padmaja Venkata Sanaka, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11161 Randolph St, Crown Point, IN 46307 Phone: 219-662-9424 Fax: 219-622-7465 | |
John Thomas King, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6101 Fax: 219-757-6336 | |
Merit D Lemke, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9301 Connecticut Dr, Crown Point, IN 46307 Phone: 219-796-4060 Fax: 219-756-8007 | |
Jeannine M Mcmahon, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6331 Fax: 219-757-6481 |