| Ibekie Foundation Inc | |
|
117 E State St Morocco IN 47963-7500 | |
| (219) 743-8013 | |
| Not Available |
| Full Name | Ibekie Foundation Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 E State St, Morocco, Indiana |
| Authorized Official Name and Position | Oranu Ibekie (OWNER) |
| Authorized Official Contact | 2197694400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibekie Foundation Inc Po Box 10746 Merrillville IN 46411-0746 Ph: (219) 769-4400 | Ibekie Foundation Inc 117 E State St Morocco IN 47963-7500 Ph: (219) 743-8013 |
| NPI Number | 1255870655 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/09/2021 |
| Medicare PECOS PAC ID | 9335424290 |
|---|---|
| Medicare Enrollment ID | O20170316001382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255870655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anupama Subramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740251321 PECOS PAC ID: 4789645516 Enrollment ID: I20041025000426 |
| Provider Name | Oranu Ibekie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134190713 PECOS PAC ID: 8921074311 Enrollment ID: I20051115000076 |
| Provider Name | Douglas W Caruana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053400564 PECOS PAC ID: 3173651296 Enrollment ID: I20100511001056 |
Proactive Mso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S 240 W Ste 200, Morocco, IN 47963 Phone: 864-501-0751 |