<unavail> in Merrillville, IN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Merrillville, Indiana. The current practice location for is 276 E 68th Pl, Merrillville, Indiana. For appointments, you can reach them via phone at (219) 763-8112. The mailing address for is Po Box 1430, Portage, Indiana and phone number is (219) 763-8112.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598196933. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (219) 763-8112.

Contact Information


	276 E 68th Pl Merrillville IN 46410-3566
	(219) 763-8112
	(219) 764-5384

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	276 E 68th Pl, Merrillville, Indiana
Authorized Official Name and Position	David Hall (CEO)
Authorized Official Contact	2197638112
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 1430 Portage IN 46368-9230 Ph: (219) 763-8112	276 E 68th Pl Merrillville IN 46410-3566 Ph: (219) 763-8112

NPI Details:

NPI Number	1598196933
Provider Enumeration Date	12/11/2013
Last Update Date	09/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	5799671236
Medicare Enrollment ID	O20140205000831

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598196933	NPI	-	NPPES
200331170I	Medicaid	IN
191360	Other	IN	MEDICARE PART B PTAN
151921	Other	IN	MEDICARE PART A PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Merrillville, IN

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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6091 Broadway, Merrillville, IN 46410 Phone: 219-763-8944 Fax: 219-764-5395
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 E 84th Dr, Merrillville, IN 46410 Phone: 812-645-1892
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-763-8812 Fax: 219-764-3251
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

- Medicare Primary Care in Merrillville, IN