| Marcotte Medical Group, Sc | |
|
15900 W 101st Ave Dyer IN 46311 | |
| (219) 365-6333 | |
| (219) 365-8291 |
| Full Name | Marcotte Medical Group, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 15900 W 101st Ave, Dyer, Indiana |
| Authorized Official Name and Position | Trevor M Marcotte (OWNER) |
| Authorized Official Contact | 2193656333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcotte Medical Group, Sc 15900 W 101st Ave Dyer IN 46311 Ph: (219) 365-6333 | Marcotte Medical Group, Sc 15900 W 101st Ave Dyer IN 46311 Ph: (219) 365-6333 |
| NPI Number | 1669424768 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 11/21/2023 |
| Medicare PECOS PAC ID | 2769453166 |
|---|---|
| Medicare Enrollment ID | O20041018000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669424768 | NPI | - | NPPES |
| 000000363441 | Other | IN | ANTHEM |
| 9932077 | Other | IL | BCBS |
| 200424880A | Medicaid | IN | |
| 5913390001 | Other | IN | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
| Provider Name | Trevor Marcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649224734 PECOS PAC ID: 2668442195 Enrollment ID: I20041018000818 |
| Provider Name | Sandra B Marcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619945797 PECOS PAC ID: 7315989779 Enrollment ID: I20051005000594 |
| Provider Name | Christine Marie Marcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104879477 PECOS PAC ID: 7911978317 Enrollment ID: I20100809000336 |
| Provider Name | Gary Allen Marcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699720144 PECOS PAC ID: 5597748855 Enrollment ID: I20100810001081 |
| Provider Name | Kenneth J Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770568362 PECOS PAC ID: 2264345677 Enrollment ID: I20110107000316 |
| Provider Name | Cortney A Housman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104867720 PECOS PAC ID: 5092789818 Enrollment ID: I20110217000467 |
| Provider Name | Joseph Judge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841202462 PECOS PAC ID: 9931092202 Enrollment ID: I20111108000119 |
| Provider Name | Heather A Van Laten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216264 PECOS PAC ID: 2163661596 Enrollment ID: I20130617000109 |
| Provider Name | Jodi R Bult |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669447900 PECOS PAC ID: 4183604176 Enrollment ID: I20130617000142 |
| Provider Name | Jessica Gerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740834241 PECOS PAC ID: 9638407158 Enrollment ID: I20190822000144 |
| Provider Name | Emily Nicole Mrzlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679110266 PECOS PAC ID: 9032546676 Enrollment ID: I20200220002771 |
| Provider Name | Dawn Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578221636 PECOS PAC ID: 0941696447 Enrollment ID: I20220411000354 |
| Provider Name | Rebecca Krilich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467118034 PECOS PAC ID: 5597151019 Enrollment ID: I20220411001338 |
Sun Health Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Shannon Brg, Dyer, IN 46311 Phone: 732-335-6515 Fax: 732-305-8026 | |
Skin Cancer Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Main Street, Dyer, IN 46311 Phone: 219-934-2495 | |
Community House Call Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Joliet St, Dyer, IN 46311 Phone: 844-546-8732 Fax: 708-529-2592 | |
Informe Hc Specialists, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Great Lakes Dr, Dyer, IN 46311 Phone: 219-322-3555 Fax: 888-724-0875 | |
Gentile Healthcare , P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 | |
None Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Joliet St Ste 201, Dyer, IN 46311 Phone: 630-974-1400 Fax: 888-466-3320 | |
Jerome E. March, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Monticello Dr, Dyer, IN 46311 Phone: 219-865-1595 Fax: 219-865-1680 |