| Highland Medical Center, Pc | |
|
9006 Indianapolis Blvd Highland IN 46322-2501 | |
| (219) 923-2241 | |
| Not Available |
| Full Name | Highland Medical Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9006 Indianapolis Blvd, Highland, Indiana |
| Authorized Official Name and Position | Sheldon Lewis (PRESIDENT/OWNER) |
| Authorized Official Contact | 2199232241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Medical Center, Pc Po Box 1134 Crown Point IN 46308-1134 Ph: (219) 662-3931 | Highland Medical Center, Pc 9006 Indianapolis Blvd Highland IN 46322-2501 Ph: (219) 923-2241 |
| NPI Number | 1184688640 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8527103498 |
|---|---|
| Medicare Enrollment ID | O20100303000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184688640 | NPI | - | NPPES |
| CJ7252 | Other | IN | MCR RR |
| 200362810 | Medicaid | IN | |
| 185990 | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sheldon R Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366448748 PECOS PAC ID: 7416900618 Enrollment ID: I20050228000972 |
| Provider Name | Jessica Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053966606 PECOS PAC ID: 9931439155 Enrollment ID: I20210923000967 |
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