Dr Daniela Matijevich, DPM,MS | |
601 Gateway Blvd N, Chesterton, IN 46304-9658 | |
(219) 921-1444 | |
Not Available |
Full Name | Dr Daniela Matijevich |
---|---|
Gender | Female |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 601 Gateway Blvd N, Chesterton, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386104826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 07001398A (Indiana) | Primary |
Provider Name | Lakeshore Bone & Joint Institute, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniela Matijevich, DPM,MS 330 W Houghton Dr, Valparaiso, IN 46385-0015 Ph: (219) 577-2288 | Dr Daniela Matijevich, DPM,MS 601 Gateway Blvd N, Chesterton, IN 46304-9658 Ph: (219) 921-1444 |
Brian Thomas Damitz, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-0533 | |
Lakeshore Bone & Joint Institute, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 601 Gateway N Blvd, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 | |
Marc S Bruell, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 | |
Dr. April C Leddell-hughes, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 106 Jeffrey St, Chesterton, IN 46304 Phone: 219-939-5078 | |
Aaron K Ruter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 | |
Rachel L Stern, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303 |