Family Medicine Associates, Llc | |
5857 Broadway Merrillville IN 46410-2666 | |
(219) 884-4450 | |
(212) 884-4418 |
Full Name | Family Medicine Associates, Llc |
---|---|
Speciality | Family Medicine |
Location | 5857 Broadway, Merrillville, Indiana |
Authorized Official Name and Position | Augustine Izah (OWNER) |
Authorized Official Contact | 2198844450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Family Medicine Associates, Llc Po Box 10606 Merrillville IN 46411-0606 Ph: (219) 884-4450 | Family Medicine Associates, Llc 5857 Broadway Merrillville IN 46410-2666 Ph: (219) 884-4450 |
NPI Number | 1659577146 |
---|---|
Provider Enumeration Date | 06/22/2007 |
Last Update Date | 10/28/2013 |
Medicare PECOS PAC ID | 3274569207 |
---|---|
Medicare Enrollment ID | O20050712000301 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659577146 | NPI | - | NPPES |
200523670A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01042994 (Indiana) | Primary |
Provider Name | Augustine Ikechukwa Izah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760476303 PECOS PAC ID: 0547296576 Enrollment ID: I20050712000617 |
Solution Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 58th Pl, Merrillville, IN 46410 Phone: 773-732-0816 | |
Workcare Occupational Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 81st Place, Merrillville, IN 46410 Phone: 219-769-4400 |