| Magno Medical Llc | |
|
8315 Virginia St Suite M Merrillville IN 46410-6238 | |
| (219) 736-1500 | |
| (219) 736-1551 |
| Full Name | Magno Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8315 Virginia St, Merrillville, Indiana |
| Authorized Official Name and Position | Fausto O Magno (CO-OWNER) |
| Authorized Official Contact | 2197361500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magno Medical Llc 8315 Virginia St Suite M Merrillville IN 46410-6238 Ph: (219) 736-1500 | Magno Medical Llc 8315 Virginia St Suite M Merrillville IN 46410-6238 Ph: (219) 736-1500 |
| NPI Number | 1497866198 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/07/2008 |
| Medicare PECOS PAC ID | 5092736942 |
|---|---|
| Medicare Enrollment ID | O20051207000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497866198 | NPI | - | NPPES |
| Provider Name | Fausto O Magno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790790657 PECOS PAC ID: 3870514730 Enrollment ID: I20090318000581 |
| Provider Name | Elizabeth H Magno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902860059 PECOS PAC ID: 7416978366 Enrollment ID: I20111130000540 |
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