| Occu-med Pc | |
|
2230 Indianapolis Blvd Whiting IN 46394-1956 | |
| (219) 659-0333 | |
| (219) 659-0336 |
| Full Name | Occu-med Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2230 Indianapolis Blvd, Whiting, Indiana |
| Authorized Official Name and Position | Nidal Hasan (PRESIDENT) |
| Authorized Official Contact | 2196590333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Occu-med Pc Po Box 699 Worth IL 60482-0699 Ph: (219) 659-0333 | Occu-med Pc 2230 Indianapolis Blvd Whiting IN 46394-1956 Ph: (219) 659-0333 |
| NPI Number | 1295037232 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 3870775620 |
|---|---|
| Medicare Enrollment ID | O20110315000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295037232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vijay Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326097585 PECOS PAC ID: 4385632744 Enrollment ID: I20050502000265 |
| Provider Name | Louis A Miceli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679578272 PECOS PAC ID: 4880606334 Enrollment ID: I20060626000345 |
| Provider Name | Daniel Case |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720124001 PECOS PAC ID: 3870585763 Enrollment ID: I20130802000649 |
| Provider Name | Tracy M. Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053732552 PECOS PAC ID: 5698908150 Enrollment ID: I20140507001906 |
| Provider Name | Shyam Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871974709 PECOS PAC ID: 5496052268 Enrollment ID: I20170727001659 |
Tajudeen Ogbara, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Indianapolis Blvd, Whiting, IN 46394 Phone: 219-659-7000 | |
Precise Telehealth Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Indianapolis Blvd, Whiting, IN 46394 Phone: 844-245-7232 | |
219 Health Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 119th St, Whiting, IN 46394 Phone: 219-703-2550 | |
Benchik Medical Health Center Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1534 119th St, Whiting, IN 46394 Phone: 219-659-1222 Fax: 219-659-0428 | |
Whiting Health Center Operated By Premise Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2815 Indianapolis Blvd # Mc113, Whiting, IN 46394 Phone: 219-473-3072 Fax: 219-473-5488 | |
Community Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 119th Street, Whiting, IN 46394 Phone: 219-659-1222 Fax: 219-659-0428 |