Pratima M Mehta, MD | |
5825 Broadway, Suite A, Merrillville, IN 46410-2687 | |
(219) 884-1400 | |
(219) 884-1453 |
Full Name | Pratima M Mehta |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 5825 Broadway, Merrillville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780693341 | NPI | - | NPPES |
247800C | Other | IN | GROUP INDIVIDUAL |
247800 | Other | IN | GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01032516A (Indiana) | Primary |
146D00000X | Personal Emergency Response Attendant | 01032516A (Indiana) | Secondary |
Entity Name | Edgewater Systems For Balanced Living Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588705784 PECOS PAC ID: 9234398397 Enrollment ID: O20120308000405 |
Mailing Address | Practice Location Address |
---|---|
Pratima M Mehta, MD 441,scarborough Road,, Valparaiso, IN 46385-8008 Ph: (219) 465-1834 | Pratima M Mehta, MD 5825 Broadway, Suite A, Merrillville, IN 46410-2687 Ph: (219) 884-1400 |
Johann David Farley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Broadway Ste D2, Merrillville, IN 46410 Phone: 219-649-0044 Fax: 219-649-0055 | |
Dr. Brian H Weiss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 West 80th Ave., Ste A, Merrillville, IN 46410 Phone: 219-791-9785 Fax: 219-791-9787 | |
Dr. Oranu G Ibekie, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1574 E 85th Ave, Merrillville, IN 46410 Phone: 219-769-4400 Fax: 219-795-1419 | |
Dr. Syed S Kazmi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 616 W 81st Ave, Merrillville, IN 46410 Phone: 312-421-1016 | |
Fadi I Alzeidan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7863 Broadway, Merrillville, IN 46410 Phone: 219-769-6639 Fax: 219-769-0636 | |
Jessica Jean Glinski, DNP, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 5043 E 81st Ave, Merrillville, IN 46410 Phone: 219-707-5276 | |
Lauren Dandurand, AGACNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 200 E 89th Ave Ste 2a, Merrillville, IN 46410 Phone: 219-736-2800 |