Foreit Medical Group Llc | |
2940 Highway Ave Highland IN 46322-1631 | |
(219) 595-0630 | |
(219) 595-0653 |
Full Name | Foreit Medical Group Llc |
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Speciality | Family Medicine |
Location | 2940 Highway Ave, Highland, Indiana |
Authorized Official Name and Position | David John Foreit (MEDICAL DIRECTOR) |
Authorized Official Contact | 2198054201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Foreit Medical Group Llc 2940 Highway Ave Highland IN 46322-1631 Ph: (219) 595-0630 | Foreit Medical Group Llc 2940 Highway Ave Highland IN 46322-1631 Ph: (219) 595-0630 |
NPI Number | 1326645284 |
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Provider Enumeration Date | 10/05/2020 |
Last Update Date | 10/05/2020 |
Medicare PECOS PAC ID | 4981024650 |
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Medicare Enrollment ID | O20201019001378 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326645284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David John Foreit |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376740647 PECOS PAC ID: 2264501568 Enrollment ID: I20080513000068 |
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