Merrillville Family Medical Center | |
270 East 90th Drive Merrillville IN 46410 | |
(219) 769-6363 | |
(219) 769-3922 |
Full Name | Merrillville Family Medical Center |
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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 |
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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 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 12/19/2018 |
Medicare PECOS PAC ID | 2961430731 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295806784 PECOS PAC ID: 0446288229 Enrollment ID: I20050810001035 |
Provider Name | Anastasia M Yorkman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316464035 PECOS PAC ID: 5395011779 Enrollment ID: I20171031000387 |
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 |