| |
2022 Kelle Dr Chesterton IN 46304-8708 | |
(219) 395-2200 | |
(219) 983-1837 |
Full Name | |
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Speciality | Family Medicine |
Location | 2022 Kelle Dr, Chesterton, Indiana |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: (216) 479-9063 | 2022 Kelle Dr Chesterton IN 46304-8708 Ph: (219) 395-2200 |
NPI Number | 1942363841 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 08/25/2022 |
Medicare PECOS PAC ID | 0446220610 |
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Medicare Enrollment ID | O20040727000935 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942363841 | NPI | - | NPPES |
170220 | Other | IN | MEDICARE PTAN |
CB6836 | Other | IN | GROUP RAILROAD NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Connie J Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770657959 PECOS PAC ID: 3577594506 Enrollment ID: I20050829001037 |
Provider Name | Tonia S Amaloo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598996589 PECOS PAC ID: 9335278928 Enrollment ID: I20100519000708 |
Provider Name | Brandon R Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558792382 PECOS PAC ID: 2860623873 Enrollment ID: I20140314001227 |
Provider Name | Melissa E Krzus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205243524 PECOS PAC ID: 3173742004 Enrollment ID: I20140908002361 |
Provider Name | Fatai Bolaji Adisa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710930011 PECOS PAC ID: 0143296756 Enrollment ID: I20141203001184 |
Provider Name | Mary K Evangelista |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881114767 PECOS PAC ID: 4981975877 Enrollment ID: I20170811000325 |
Provider Name | Stacy Lynn Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225510951 PECOS PAC ID: 1153668181 Enrollment ID: I20190129000650 |
Provider Name | Melinda K Seitzinger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649490269 PECOS PAC ID: 3971938754 Enrollment ID: I20200124002082 |
Provider Name | Richele Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578598652 PECOS PAC ID: 9032129341 Enrollment ID: I20210722002120 |
Transitional Hospitalist Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Plaza Dr Ste 2-252, Chesterton, IN 46304 Phone: 630-660-1442 | |
Elite Family Nurse Practitioners, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 W Indiana Ave, Chesterton, IN 46304 Phone: 219-728-6562 Fax: 219-728-6564 | |
Nirmala Murugavel Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Sand Creek Dr, Chesterton, IN 46304 Phone: 219-395-9353 Fax: 219-395-9147 | |
Porter Physician Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 Dickinson Rd, Suite A, Chesterton, IN 46304 Phone: 219-926-2133 Fax: 219-926-8765 | |
Sunil Patel Md. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 Phone: 219-926-6717 Fax: 219-926-7472 |