Siddiq S Hasan, MD | |
9800 Valparaiso Dr, Munster, IN 46321-4040 | |
(219) 934-9852 | |
(219) 836-7593 |
Full Name | Siddiq S Hasan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 9800 Valparaiso Dr, Munster, 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 |
---|---|---|---|
1679549356 | NPI | - | NPPES |
9930030 | Other | IL | BCBS OF ILLINOIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036111304 (Illinois) | Secondary |
208600000X | Surgery | 01087941A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson Park Hospital | Chicago, IL | Hospital |
Saint Anthony Hospital | Chicago, IL | Hospital |
Franciscan Health Munster | Munster, IN | Hospital |
Franciscan Health Dyer | Dyer, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Anthony Health Affiliates | 1254321474 | 54 |
Friedell Clinic, S. C. | 2567366164 | 27 |
Franciscan Physician Network | 3072790682 | 983 |
Entity Name | Friedell Clinic, S. C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306854021 PECOS PAC ID: 2567366164 Enrollment ID: O20031125000405 |
Entity Name | Saint Anthony Health Affiliates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881086064 PECOS PAC ID: 1254321474 Enrollment ID: O20040518000419 |
Mailing Address | Practice Location Address |
---|---|
Siddiq S Hasan, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Siddiq S Hasan, MD 9800 Valparaiso Dr, Munster, IN 46321-4040 Ph: (219) 934-9852 |
Raquel Elisa Redondo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9800 Fax: 219-924-8831 | |
Dr. Devendra Desai, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842 | |
Kayla Marie Kralovec, NP Surgery Medicare: Medicare Enrolled Practice Location: 9800 Valparaiso Dr, Munster, IN 46321 Phone: 219-934-9852 Fax: 219-836-7593 | |
Dr. Teoman R Demir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 | |
Dr. Creighton M Rawlings, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7905 Calumet Ave, Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-5842 | |
Dr. Russell W Pellar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 | |
Dr. Anne Therese Dempsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10110 Donald Powers Dr., Suite 202, Munster, IN 46321 Phone: 219-922-0222 Fax: 219-922-8899 |