Reynaldo Martin Caluag, MD | |
2490 Central Ave, Lake Station, IN 46405-2122 | |
(219) 763-8112 | |
(219) 962-1580 |
Full Name | Reynaldo Martin Caluag |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 2490 Central Ave, Lake Station, 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 |
---|---|---|---|
1255477857 | NPI | - | NPPES |
300000266 | Medicaid | IN | |
1617286 | Other | IL | BLUE CROSS BLUE SHIELD |
191360021 | Other | IN | MEDICARE PTAN |
036096640 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-096640 (Illinois) | Secondary |
207Q00000X | Family Medicine | 01050338A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northshore Health Centers Inc | 5799671236 | 29 |
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 |
Mailing Address | Practice Location Address |
---|---|
Reynaldo Martin Caluag, MD Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Reynaldo Martin Caluag, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (219) 763-8112 |
Fernando H. Rivera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-764-3251 | |
Dr. Marie-lesly Emmanuel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 210-358-3888 |