| Merrillville Family Medical Center | |
|
270 East 90th Drive Merrillville IN 46410 | |
| (219) 769-6363 | |
| (219) 769-3922 |
| Full Name | Merrillville Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 270 East 90th Drive, Merrillville, Indiana |
| Authorized Official Name and Position | Nadira Ahmed (OWNER) |
| Authorized Official Contact | 2197696363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrillville Family Medical Center 270 E 90th Dr Merrillville IN 46410-8102 Ph: (219) 769-6363 | Merrillville Family Medical Center 270 East 90th Drive Merrillville IN 46410 Ph: (219) 769-6363 |
| NPI Number | 1538279831 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 2961430731 |
|---|---|
| Medicare Enrollment ID | O20050802000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538279831 | NPI | - | NPPES |
| 200289300 | Medicaid | IN | |
| 90001102 | Other | IL | BLUE SHIELD OF ILLINOIS |
| 000000376214 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01047385A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 50004849A (Indiana) | Primary |
| Provider Name | Nadira Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295806784 PECOS PAC ID: 0446288229 Enrollment ID: I20050810001035 |
| Provider Name | Anastasia M Yorkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316464035 PECOS PAC ID: 5395011779 Enrollment ID: I20171031000387 |
Uwc- Merrillville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 W 81st Ave Ste A, Merrillville, IN 46410 Phone: 312-421-1016 Fax: 219-255-9588 | |
Solution Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 58th Pl, Merrillville, IN 46410 Phone: 773-732-0816 | |
Northshore Merrillville Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6091 Broadway, Merrillville, IN 46410 Phone: 219-763-8944 Fax: 219-764-5395 | |
Proactive Md Merrillville Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 E 84th Dr, Merrillville, IN 46410 Phone: 812-645-1892 | |
Northshore Regional Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-763-8812 Fax: 219-764-3251 | |
Northshore Regional Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-763-8112 Fax: 219-764-3251 | |
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 |