New Balance Occupational Medicine, Llc | |
1574 E 85th Ave Merrillville IN 46410 | |
(219) 769-4400 | |
(219) 795-1419 |
Full Name | New Balance Occupational Medicine, Llc |
---|---|
Speciality | Family Medicine |
Location | 1574 E 85th Ave, Merrillville, Indiana |
Authorized Official Name and Position | Oranu G Ibekie (MD) |
Authorized Official Contact | 2197694400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Balance Occupational Medicine, Llc Po Box 10746 Merrillville IN 46411-0746 Ph: (219) 769-4400 | New Balance Occupational Medicine, Llc 1574 E 85th Ave Merrillville IN 46410 Ph: (219) 769-4400 |
NPI Number | 1184921652 |
---|---|
Provider Enumeration Date | 02/18/2011 |
Last Update Date | 04/24/2019 |
Medicare PECOS PAC ID | 2062697220 |
---|---|
Medicare Enrollment ID | O20110503000596 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184921652 | NPI | - | NPPES |
201016650A | Medicaid | IN |
Provider Name | Anupama Subramanian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740251321 PECOS PAC ID: 4789645516 Enrollment ID: I20041025000426 |
Provider Name | Oranu Ibekie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134190713 PECOS PAC ID: 8921074311 Enrollment ID: I20051115000076 |
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 |