Rodolfo Leongson San Juan Jr, MD in Crown Point, IN

Rodolfo Leongson San Juan Jr, MD is a medicare enrolled "Family Medicine" physician in Crown Point, Indiana. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Franciscan Physician Network and his current practice location is 11161 Randolph St, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 662-9424.

Rodolfo Leongson San Juan Jr is licensed to practice in Indiana (license number 01064429A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881895233.

Contact Information

	Rodolfo Leongson San Juan Jr, MD
	11161 Randolph St, Crown Point, IN 46307-8564
	(219) 662-9424
	(219) 662-7465

Map and Direction

Physician's Profile

Full Name	Rodolfo Leongson San Juan Jr
Gender	Male
Speciality	General Practice
Experience	31 Years
Location	11161 Randolph St, Crown Point, 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.

Medical Education and Training:

Rodolfo Leongson San Juan Jr graduated from medical school in 1993

NPI Data:

NPI Number: 1881895233
Provider Enumeration Date: 05/31/2007
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5698851962
Enrollment ID: I20080326000935

Medical Identifiers

Medical identifiers for Rodolfo Leongson San Juan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881895233	NPI	-	NPPES
200386920	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0116017383 (Virginia)	Secondary
207Q00000X	Family Medicine	01064429A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan Home Care	Hammond, IN	Home health agency
Elara Caring	South bend, IN	Home health agency
Franciscan Health Crown Point	Crown point, IN	Hospital
St Mary Medical Center Inc	Hobart, IN	Hospital
Franciscan St Anthony Health - Michigan City	Michigan city, IN	Hospital
Franciscan Health Dyer	Dyer, IN	Hospital
Methodist Hospitals Inc	Gary, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Franciscan Physician Network	3072790682	983

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rodolfo Leongson San Juan Jr allows following entities to bill medicare on his behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rodolfo Leongson San Juan Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rodolfo Leongson San Juan Jr, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Rodolfo Leongson San Juan Jr, MD 11161 Randolph St, Crown Point, IN 46307-8564 Ph: (219) 662-9424

Reviews and Comments

Family Medicine Doctors in Crown Point, IN

Valerie Cecelia Maguire, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307 Phone: 219-663-4007 Fax: 219-663-4198
Dr. James Simantirakis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8610
Angelica M. Lacefield, MSN, APRN, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100
Bo Ra Nam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897
Mrs. Kamartaj S Quadri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8621
Timothy James Mullally, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11275 Delaware Pkwy, Crown Point, IN 46307 Phone: 219-779-8735 Fax: 877-715-2312
Erika Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-933-2288

Rodolfo Leongson San Juan Jr, MD - Medicare General Practice in Crown Point, IN