Md Healthcare Direct | |
5330 Harrison Street Merrillville IN 46410-1465 | |
(219) 712-3657 | |
Not Available |
Full Name | Md Healthcare Direct |
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Speciality | Internal Medicine |
Location | 5330 Harrison Street, Merrillville, Indiana |
Authorized Official Name and Position | Okechi Nwabara (CEO) |
Authorized Official Contact | 2197127375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Md Healthcare Direct 5330 Harrison Street Merrillville IN 46410-1465 Ph: (219) 712-3657 | Md Healthcare Direct 5330 Harrison Street Merrillville IN 46410-1465 Ph: (219) 712-3657 |
NPI Number | 1508493669 |
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Provider Enumeration Date | 03/26/2020 |
Last Update Date | 03/26/2020 |
Medicare PECOS PAC ID | 3870914476 |
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Medicare Enrollment ID | O20200608001691 |
Identifier | Type | State | Issuer |
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1508493669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Stephanie O Bandy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306224597 PECOS PAC ID: 0941511380 Enrollment ID: I20151124000620 |
Solution Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 58th Pl, Merrillville, IN 46410 Phone: 773-732-0816 | |
Workcare Occupational Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 81st Place, Merrillville, IN 46410 Phone: 219-769-4400 |